Individual
DR. LUCAS DERANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2906 N BROADWAY ST, CHICAGO, IL 60657-7163
(773) 525-1601
Mailing address
2906 N BROADWAY ST, CHICAGO, IL 60657-7163
(773) 525-1601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010165
IL
Other
Enumeration date
10/15/2008
Last updated
08/18/2015
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