Lucas, Tatiana O
Lucas, Tatiana O is an individual health care provider with primary practice located at 272 Cross Roads Plz , Mount Pleasant PA 15666. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lucas, Tatiana O can be contacted via phone (724) 547-0690.Contact Information
Primary practice address
272 Cross Roads Plz
Mount Pleasant PA 15666
Phone: (724) 547-0690
Fax: (724) 547-1918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | WV4232 | West Virginia |
| Dental Providers / Dentist | 122300000X | DS041087 | Pennsylvania |
Profile Details
| NPI number | 1114473576 |
|---|---|
| LBN Legal business name | Lucas, Tatiana O |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2016 |
| Last updated | Jun 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114473576 | NPPES |
| Pennsylvania | MEDICAID | 1032153500002 |
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