Luczak, Dede

Luczak, Dede is an individual health care provider with primary practice located at 2600 Seneca Dr , Jacksonville FL 32259-2117. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Luczak, Dede can be contacted via phone (904) 449-1496.

Contact Information

Primary practice address
2600 Seneca Dr Jacksonville FL 32259-2117
Phone: (904) 449-1496
Fax: (904) 436-5977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X CGC062824 Florida

Profile Details

NPI number 1225419260
LBN Legal business name Luczak, Dede
Credentials OWNER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Jun 16th, 2015 - about 9 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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