Individual
DR. GARY ROBERT LUCACHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
501 3RD ST, INTERNATIONAL FALLS, MN 56649-2305
(218) 285-7822
(218) 285-7822
Mailing address
501 3RD ST, INTERNATIONAL FALLS, MN 56649-2305
(218) 285-7822
(218) 285-7822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9747
MN
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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