Lucas, Judith Ellen

Lucas, Judith Ellen is an individual health care provider with primary practice located at 790 Ridge Rd , Lackawanna NY 14218-1629. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Lucas, Judith Ellen can be contacted via phone (716) 823-9352.

Contact Information

Primary practice address
790 Ridge Rd Lackawanna NY 14218-1629
Phone: (716) 823-9352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 49000634 New York

Profile Details

NPI number 1629392634
LBN Legal business name Lucas, Judith Ellen
Credentials CDA-RDA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Mar 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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