Provider Demographics
NPI:1851541429
Name:LAMBRUSCHINI, LUCCIOLA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUCCIOLA
Middle Name:
Last Name:LAMBRUSCHINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 RIVER RD
Mailing Address - Street 2:APT 1916
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1512
Mailing Address - Country:US
Mailing Address - Phone:202-468-3592
Mailing Address - Fax:
Practice Address - Street 1:781 SPRING PKWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1605
Practice Address - Country:US
Practice Address - Phone:540-459-1700
Practice Address - Fax:540-459-1809
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412077122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist