National Provider Identifier

Danica Luc, PA-C

Danica Luc, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7281.

NPI 1134877533Rochester, NYSurgical Physician Assistant

Profile Overview

NPI
1134877533
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
March 15, 2022
Last Updated
August 17, 2023

Practice Location

  • 1555 Long Pond RD Fl 1
  • Rochester, NY 14626-4164

Phone: (585) 723-7281

Mailing Address

  • 1102 Central Park Blvd N
  • Greenwood, IN 46143-7310

Specialties

  • Surgical Physician Assistant (363AS0400X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1134877533
Entity Type
Individual
Last Name
Luc
First Name
Danica
Credential
PA-C
Mailing Street Address
1102 Central Park Blvd N
Mailing City
Greenwood
Mailing State
IN
Mailing ZIP Code
46143-7310
Mailing Country
US
Practice Street Address
1555 Long Pond RD Fl 1
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4164
Practice Country
US
Practice Phone
(585) 723-7281
Enumeration Date
March 15, 2022
Last Updated
August 17, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
February 21, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X), Student in an Organized Health Care Education/Training Program (390200000X)