Individual
DR. GREGORY J LUTCAVAGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2400 WAYNE MEMORIAL DR, SUITE K, GOLDSBORO, NC 27534-1789
(919) 736-2082
(919) 734-0893
Mailing address
2400 WAYNE MEMORIAL DR, SUITE K, GOLDSBORO, NC 27534-1789
(919) 736-2082
(919) 734-0893
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418529
UNITED CONCORDIA
NC
05
—
8995411
—
NC
01
—
95411
BCBS OF NC
NC
Enumeration date
05/11/2006
Last updated
07/08/2007
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