Individual
ELIZABETH MARIE LUCCHESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 STRAITS TPKE, MIDDLEBURY, CT 06762-1836
(203) 598-3889
Mailing address
1625 STRAITS TPKE, MIDDLEBURY, CT 06762-1836
(203) 598-3889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11019
CT
Other
Enumeration date
06/27/2012
Last updated
07/26/2013
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