National Provider Identifier
Judith Ellen Lucas, CDA-RDA
Judith Ellen Lucas, CDA-RDA is listed in the NPPES registry with a primary specialty of Dental Assistant in Lackawanna, NY and a listed phone number of (716) 823-9352.
Profile Overview
- NPI
- 1629392634
- Provider Type
- Individual
- Primary Specialty
- Dental Assistant
- Enumeration Date
- March 19, 2010
- Last Updated
- March 19, 2010
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 823-9352
Specialties
- Dental Assistant (126800000X)
Full Record
- NPI
- 1629392634
- Entity Type
- Individual
- Last Name
- Lucas
- First Name
- Judith
- Middle Name
- Ellen
- Name Prefix
- Mrs.
- Credential
- CDA-RDA
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Mailing Phone
- (716) 823-9352
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 823-9352
- Enumeration Date
- March 19, 2010
- Last Updated
- March 19, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Assistant (126800000X)