Individual
MEGAN JEAN LUCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
955 B MAIN ST, SANFORD, ME 04073
(207) 324-0026
Mailing address
955 MAIN ST, SANFORD, ME 04073-3574
(508) 757-1727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3827
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113090000
MAINE CARE
ME
01
—
432488100
MAINE CARE
ME
Enumeration date
03/22/2007
Last updated
07/08/2007
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