Individual
MRS. DEDE LUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
2600 SENECA DR, JACKSONVILLE, FL 32259-2117
(904) 449-1496
(904) 436-5977
Mailing address
2600 SENECA DR, JACKSONVILLE, FL 32259-2117
(904) 449-1496
(904) 436-5977
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CGC062824
FL
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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