Fred Lucas, DDS

NPI #1619988771 in Skokie, Illinois

Provider Information

NPI Number
1619988771
Entity Type
Individual
Name
Fred Lucas, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Aug 11, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
9933 LAWLER AVE
City
Skokie
ZIP Code
60077-3703
Phone
(847) 675-4867

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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