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Individual
LUCY J OPRIS
Active
Individual
LUCY J OPRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
019027489
IL
1223D0001X
Public Health Dentistry
Primary
2901022416
MI
1223G0001X
General Practice Dentistry
2901022416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13501447
CAQH
MI
01
—
1780096792
TYPE 2 NPI
MI
01
—
20170171
MOBILE DENTAL PERMIT
MI
01
—
PA161
PA161
MI
Enumeration date
09/27/2007
Last updated
04/08/2021
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