Provider Demographics
NPI:1023864949
Name:GRAZIADEI, LUCIA E (PN/LCNA)
Entity type:Individual
Prefix:MS
First Name:LUCIA
Middle Name:E
Last Name:GRAZIADEI
Suffix:
Gender:F
Credentials:PN/LCNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12551 HONORE AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3260
Mailing Address - Country:US
Mailing Address - Phone:941-287-5390
Mailing Address - Fax:
Practice Address - Street 1:12551 HONORE AVE APT 310
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3260
Practice Address - Country:US
Practice Address - Phone:941-287-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL395630253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care