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

Michael Louis Lucchesi

Individual provider Medical Physician Assistant · NPI 1073194320

Michael Louis Lucchesi is a Medical Physician Assistant in Lake Tapps, Washington. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

3219 170th Ave E
Lake Tapps, WA 98391-5530
Phone: (253) 363-6207
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9115677 (FL)

Record details

NPI number1073194320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address3219 170th Ave E, Lake Tapps, WA 98391-5530

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