Individual
DR. CRYSTAL LYNN DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 479-8118
Mailing address
6406 S 164TH CIR, OMAHA, NE 68135-6376
(402) 319-9257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1341
NE
152W00000X
Optometrist
Primary
2785
CT
Other
Enumeration date
05/27/2009
Last updated
06/21/2010
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