Provider Demographics
NPI:1619867058
Name:ESPOSITO, LUCIA (LAC)
Entity type:Individual
Prefix:MS
First Name:LUCIA
Middle Name:
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 WAVERLY PL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-6821
Mailing Address - Country:US
Mailing Address - Phone:917-771-0996
Mailing Address - Fax:
Practice Address - Street 1:20 W 22ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5804
Practice Address - Country:US
Practice Address - Phone:917-771-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007753171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist