Individual
DR. CLEOKA ALESHA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
181 N MAIN ST STE 202, MOORESVILLE, NC 28115-2525
(704) 459-3476
Mailing address
15848 ARABIAN MEWS LN, CHARLOTTE, NC 28278-8796
(904) 710-0962
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3593
SC
1223P0221X
Pediatric Dentistry
Primary
8916
NC
1223P0221X
Pediatric Dentistry
DN013295
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101050
—
GA
05
—
5915302
—
NC
05
—
633874403A
—
GA
05
—
9184392
—
GA
Enumeration date
03/07/2007
Last updated
12/13/2023
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