Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kobe Joseph Lucarelli I

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154183812

Kobe Joseph Lucarelli I is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

10627 Diebold Rd
Fort Wayne, IN 46845-8606
Phone: (260) 357-8329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IN)

Record details

NPI number1154183812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateDecember 7, 2023

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