Fred Lucas DDS

NPI 1619988771 - Dentist - 1223P0300X

NPI Details
NPI 1619988771
Gender Male
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9933 LAWLER AVE
SKOKIE IL, 60077-3703, US
Phone (847) 675-4867
Fax
Business Location
701 THOMPSON BLVD
BUFFALO GROVE IL, 60089-1013, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Illinois
License Number 019023343
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According to our database, Fred Lucas DDS NPI is 1619988771, taxonomy code is 1223P0300X and license number is 019023343, license state is located at Illinois. Fred Lucas DDS physically located at 9933 Lawler Ave, Skokie IL, 60077-3703. NPI Number Fred Lucas DDS has the Individual type.

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1619988771 NPI number is provided on an as is basis without warranty of any kind. 1619988771 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Lucas DDS are for informational purposes only.