Angelo John Lucco, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD069604L Issued in PA

Practice address

210 Mount Nebo Rd
East Stroudsburg, PA 18301-9237

Phone

(570) 223-8842

Fax

(570) 223-8842

NPI assigned

Nov 18, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1669709390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MOUNT NEBO RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019237",
            "telephone_number": "570-223-8842",
            "fax_number": "570-223-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MOUNT NEBO RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019237",
            "telephone_number": "570-223-8842",
            "fax_number": "570-223-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCO",
        "first_name": "ANGELO",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD069604L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lopes
• Jessica Anne Lord, C. R.N. P.
• Michael Shaylan Lord
• Carrie Loverso, MS, BCBA, LBS
• Loving Care Agency, Inc.
• Elliot Richard Lugo, MSN, CRNP
• Ollie Lumby
• LVHN Coordinated Professional Practice
• Fenella Lynch, FNP
• M. Azhar Chaudhry M.D. Inc.

• Geriatric Medicine (Internal Medicine) Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.