| Fred R Lucas Dds Inc | |
|
321 N Nash Watonga OK 73772-0570 | |
| (580) 623-7397 | |
| (580) 623-4912 |
| Full Name | Fred R Lucas Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 321 N Nash, Watonga, Oklahoma |
| Authorized Official Name and Position | Fred R Lucas (PRESIDENT) |
| Authorized Official Contact | 5806237397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred R Lucas Dds Inc Po Box 570 Watonga OK 73772-0570 Ph: (580) 623-7397 | Fred R Lucas Dds Inc 321 N Nash Watonga OK 73772-0570 Ph: (580) 623-7397 |
| NPI Number | 1154414456 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154414456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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