Individual
CHANCY GULOTTA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 E 5TH ST, CHARLOTTE, NC 28204-2429
(980) 367-4363
(704) 384-1644
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 973-2106
(704) 973-2395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2017-01253
NC
Other
Enumeration date
05/24/2013
Last updated
04/24/2024
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