Provider Demographics
NPI:1700951043
Name:LUCCHESI-COOK, TERESA ANN (ND , LAC)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:ANN
Last Name:LUCCHESI-COOK
Suffix:
Gender:F
Credentials:ND , LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 HOWARD HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-9570
Mailing Address - Country:US
Mailing Address - Phone:707-444-8953
Mailing Address - Fax:
Practice Address - Street 1:341 HOWARD HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-9570
Practice Address - Country:US
Practice Address - Phone:707-444-8953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4717171100000X
CAND-144175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath