Provider Demographics
NPI:1669414488
Name:LUCENTE, VINCENT R (MD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:R
Last Name:LUCENTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 HAMILTON BLVD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-3628
Mailing Address - Country:US
Mailing Address - Phone:610-435-9575
Mailing Address - Fax:610-435-2763
Practice Address - Street 1:3050 HAMILTON BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3628
Practice Address - Country:US
Practice Address - Phone:610-435-9575
Practice Address - Fax:610-435-2763
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051800L207VF0040X, 207VG0400X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA032333000OtherCAPITAL BLUE CROSS
PA1360068OtherHIGHMARK BLUE SHIELD
PA1084443OtherAETNA
PA2052999000OtherINDEPENDENCE BLUE CROSS
160056074OtherRAILROAD MEDICARE
PA2052999000OtherINDEPENDENCE BLUE CROSS
160056074OtherRAILROAD MEDICARE