Provider Demographics
NPI:1144960766
Name:LUCITT, SONALI RACHEL (DPM)
Entity type:Individual
Prefix:
First Name:SONALI
Middle Name:RACHEL
Last Name:LUCITT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:SONALI
Other - Middle Name:RACHEL
Other - Last Name:SUKUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65 BRAINERD RD APT 205
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-4510
Mailing Address - Country:US
Mailing Address - Phone:404-971-6596
Mailing Address - Fax:
Practice Address - Street 1:65 BRAINERD RD APT 205
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-4510
Practice Address - Country:US
Practice Address - Phone:404-971-6596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPDF8331213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist