FRED LUCAS

SKOKIE, IL
NPI1619988771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: IL  019023343)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
FRED LUCAS DDS
9933 LAWLER AVE
SKOKIE, IL 60077-3703
Phone number: 847-675-4867
Mailing Address
FRED LUCAS DDS
701 THOMPSON BLVD
BUFFALO GROVE, IL 60089-1013
Phone number:
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