Provider Demographics
NPI:1881155620
Name:LUCIANI, ALFRED MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:MICHAEL
Last Name:LUCIANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:A. MICHAEL
Other - Middle Name:
Other - Last Name:LUCIANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:185 39TH ST APT 305
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3267
Mailing Address - Country:US
Mailing Address - Phone:609-335-1454
Mailing Address - Fax:
Practice Address - Street 1:9100 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5815
Practice Address - Country:US
Practice Address - Phone:570-271-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD484110207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery