Individual
PERRY J LUCENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2510 HOWARD GROVE RD, DAVIDSONVILLE, MD 21035
(410) 956-2594
(410) 956-2594
Mailing address
2510 HOWARD GROVE RD, DAVIDSONVILLE, MD 21035
(410) 956-2594
(410) 956-2594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601001619
VA
152W00000X
Optometrist
Primary
TA1029
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650898700
—
MD
01
—
656342
MEDICARE
DC
01
—
656342
MEDICARE
MD
Enumeration date
01/03/2007
Last updated
03/14/2010
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