Michael W. Lucarelli D.O.,Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DO00491 Issued in RI

Legal business name

MICHAEL W. LUCARELLI D.O.,INC.

Practice address

3461 S County TRL
Suite 201
East Greenwich, RI 02818-1463

Phone

(401) 471-6850

Fax

(401) 471-6855

NPI assigned

May 4, 2009

Last updated

May 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael William Lucarelli, D.O.

Title

Physician/President

Phone

(401) 471-6850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1699909747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 S COUNTY TRL",
            "address_2": "SUITE 201",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181463",
            "telephone_number": "401-471-6850",
            "fax_number": "401-471-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 S COUNTY TRL",
            "address_2": "SUITE 201",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181463",
            "telephone_number": "401-471-6850",
            "fax_number": "401-471-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. LUCARELLI D.O.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "LUCARELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "401-471-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "DO00491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "089002947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taylor Meyerjack, PT
• Lisa L. Milder, D.O.
• Lauren Miller, LICSW
• Richard William Miller, M.D.
• Robert E Miller, OD
• Carolyn Milner, ATC

• Clinic/Center in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.