Individual
LUCAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2410 SAMPSON ST, NORTH CHICAGO, IL 60088-2942
(647) 688-2469
Mailing address
PSC 475 BOX 1, FPO, AP 96350-1200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11828
OR
Other
Enumeration date
08/01/2023
Last updated
07/02/2024
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