THE LUCCA GROUP LLC NPI 1205533031

NPI Information

  • NPI: 1205533031
  • Provider Name: THE LUCCA GROUP LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • CLIA Number: 39D2291691
  • Address: 702 CHURCH ST
    HAWLEY, PA
    ZIP 18428
  • Phone: (272) 336-0101

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NPI Details

THE LUCCA GROUP LLC is a family nurse practitioner in Hawley, PA. THE LUCCA GROUP LLC NPI is 1205533031. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

702 CHURCH ST
HAWLEY, PA
ZIP 18428-412
Phone: (272) 336-0101
Fax: (272) 336-0102

The provider's authorized official is April Powell .
The authorized official title is Credentialing Manager and has the following contact phone number (814) 826-0500.

The CLIA number assigned to this NPI record is 39D2291691 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2023 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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