Fred R Lucas Dds Inc

NPI 1154414456 - Dentist - 1223G0001X

NPI Details
NPI 1154414456
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FRED R FRED
Position PRESIDENT
Phone (580) 623-7397
Fax (580) 623-4912
Practice Location
321 N NASH
WATONGA OK, 73772-0570, US
Phone (580) 623-7397
Fax (580) 623-4912
Business Location
PO BOX 570
WATONGA OK, 73772-0570, US
Phone (580) 623-7397
Fax (580) 623-4912
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Fred R Lucas Dds Inc NPI is 1154414456, taxonomy code is 1223G0001X Fred R Lucas Dds Inc physically located at 321 N Nash, Watonga OK, 73772-0570. NPI Number 1033115704 has the healthcare provider type.

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1154414456 NPI number is provided on an as is basis without warranty of any kind. 1154414456 is maintained by the National Plan & Provider Enumeration System. The contents of Fred R Lucas Dds Inc are for informational purposes only.