Basic Information
| Provider Information | |||||||||
| NPI: | 1083693824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUCCHI-CAPONIGRO | ||||||||
| FirstName: | LORI | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 GOLDEN RD | ||||||||
| Address2: | |||||||||
| City: | SUFFERN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109013219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453688582 | ||||||||
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| Practice Location | |||||||||
| Address1: | 151 N MAIN ST | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | NEW CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109563851 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456382728 | ||||||||
| FaxNumber: | 8456381830 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2006 | ||||||||
| LastUpdateDate: | 09/29/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | 3541 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.