MICHAEL W. LUCARELLI D.O.,INC.
Ambulatory Health at County Trl, Warwick, RI

License number
Rhode Island DO00491
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. MICHAEL WILLIAM LUCARELLI D.O.
Title: PHYSICIAN/PRESIDENT
Phone: (401) 471-6850
Address
Address
3461 S County Trl SUITE 201, Warwick, RI 02818
National Provider ID: 1699909747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Michael W. Lucarelli, D.O., Inc

3461 S County Trl, East Greenwich, RI 02818

Industry:
THE PROVISION OF PROFESSIONAL MEDICAL SERVICES
Registration:
Mar 27, 2000
State ID:
000111679
Business type:
Domestic Profit Corporation
TREASURERs:
Michael W Lucarelli (PRESIDENT), 3461 S County Trl, East Greenwich, RI 02818 (Physical),Michael W. Lucarelli (TREASURER), 3461 S County Trl, East Greenwich, RI 02818 (Physical)
Agent:
Daniel Stone, Esq,10 Catlin Ave, Rumford, RI 02916 (Physical)

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