Provider Demographics
NPI:1568018448
Name:LUCIANO, NATALIE LORRAINE
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LORRAINE
Last Name:LUCIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 NORTH PENRYN ROAD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-8562
Mailing Address - Country:US
Mailing Address - Phone:717-689-1245
Mailing Address - Fax:717-689-1246
Practice Address - Street 1:530 E. CEDAR STREET
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2516
Practice Address - Country:US
Practice Address - Phone:717-689-1245
Practice Address - Fax:717-689-1246
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily