TIMOTHY ROBERT LUCISANO

CHARLOTTE, NC
NPI1699702043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  102492)
Enumeration Date2006-06-28
Last Update Date2008-08-14
Business Address
-- TIMOTHY ROBERT LUCISANO crna
10628 PARK RD ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210-8407
Phone number: 704-667-1000
Mailing Address
-- TIMOTHY ROBERT LUCISANO crna
10628 PARK RD ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210-8407
Phone number: 704-667-1971
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