NPI 1629392634

Judith Ellen Lucas, CDARDA

Practitioner Dental Assistant Lackawanna, NY

Practice location

Address: 790 Ridge Rd, Lackawanna, NY 14218-1629
Phone: (716) 823-9352

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 49000634 (NY)

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Registry record

NPI: 1629392634
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2010
Record last updated: 19 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.