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1083760052
FREDERICK J LUCAS
LA CROSSE, WI
NPI
1083760052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5000542-015)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- FREDERICK J LUCAS D.D.S.
1200 MAIN ST
LA CROSSE, WI 54601-4102
Phone number: 608-784-4063
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Mailing Address
-- FREDERICK J LUCAS D.D.S.
1200 MAIN ST
LA CROSSE, WI 54601-4102
Phone number: 608-784-4063
Copy
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