Individual
DR. JULIA IMMACULATA LUCENTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 FAR HILLS AVE, SUITE 320, DAYTON, OH 45419-1687
(937) 395-4893
Mailing address
215 COLONIAL LN, DAYTON, OH 45429-2174
(937) 433-3313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35052717L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599857
—
OH
Enumeration date
10/17/2005
Last updated
07/08/2007
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