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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417751074

Logan Alexander Pucci, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 243-5600
Fax: (434) 244-9450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417751074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026
Mailing address1215 Lee St, Box 801007, Charlottesville, VA 22908-0816

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