| NPI | 1679850614 |
|---|---|
| Former Name | DAWN M LUCIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2043) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-07-07 |