Organization
JULIA I LUCENTE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA IMMACULATA LUCENTE M.D. (OWNER)
(937) 395-4893
Entity
Organization
Contact information
Practice address
620 KLING DR, DAYTON, OH 45419-4201
(937) 395-4893
(937) 395-4892
Mailing address
620 KLING DR, DAYTON, OH 45419-4201
(937) 395-4893
(937) 395-4892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599857
—
OH
Enumeration date
09/28/2006
Last updated
09/06/2007
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