Provider Demographics
NPI:1699082883
Name:LUCARONI, GENE JOSEPH (CPHT)
Entity type:Individual
Prefix:MR
First Name:GENE
Middle Name:JOSEPH
Last Name:LUCARONI
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3645
Mailing Address - Country:US
Mailing Address - Phone:413-637-4700
Mailing Address - Fax:413-637-1411
Practice Address - Street 1:5 WALKER ST
Practice Address - Street 2:STE 1
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240
Practice Address - Country:US
Practice Address - Phone:413-637-4700
Practice Address - Fax:413-637-1411
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPT3936183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician