Provider Demographics
NPI:1861558561
Name:LUCCI, EDWARD BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:BRUCE
Last Name:LUCCI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2 WRAMC ROOM 2J38
Mailing Address - Street 2:6900 GEORGIA AVE. NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0001
Mailing Address - Country:US
Mailing Address - Phone:202-782-1947
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF EMERGENCY MEDICINE WRNMMC
Practice Address - Street 2:8901 WISCONSIN AVENUE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-295-4810
Practice Address - Fax:301-295-4666
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2024-04-30
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Provider Licenses
StateLicense IDTaxonomies
MDD0046835207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine