MRS. Judith Ellen Lucas, CDA-RDA
NPI #1629392634 in Lackawanna, New York
Provider Information
- NPI Number
- 1629392634
- Entity Type
- Individual
- Name
- MRS. Judith Ellen Lucas, CDA-RDA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- CDA-RDA
- Enumeration Date
- Mar 19, 2010
- Last Updated
- Mar 19, 2010
Practice Location
- Address
- 790 RIDGE RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1629
- Phone
- (716) 823-9352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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