Active NPI
Mark a. Lucianna MD
- Primary Care Clinic/Center
- Arlington, WA
National Provider Identifier
1750581047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MARK A. LUCIANNA MD
- Practice address
- 7530 204TH St NE
Arlington, WA 98223-8912 - Phone
- (360) 435-7337
- Fax
- (360) 435-3510
- NPI assigned
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Luanne Vanwinkle
- Title
- Manager
- Phone
- (360) 435-7337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7530 204TH St NE
Arlington, WA 98223-8912
Mailing address
7530 204TH St NE
Arlington, WA 98223-8912
Phone (360) 435-7337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7112196 | Medicaid | WA | |
| 0152577 | Other | WA | DEPT. OF LABOR AND INDUST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1750581047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 204TH ST NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238912",
"telephone_number": "360-435-7337",
"fax_number": "360-435-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 204TH ST NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238912",
"telephone_number": "360-435-7337",
"fax_number": "360-435-3510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A. LUCIANNA MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A",
"authorized_official_last_name": "VANWINKLE",
"authorized_official_first_name": "LUANNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-435-7337",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7112196",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR AND INDUST",
"identifier": "0152577",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.