| NPI | 1205933553 |
|---|---|
| Former Name | DANA ROCHELLE LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 793) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001063) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-03-17 |