Individual
BRADLEY LUCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
295 W CROMWELL AVE STE 102, FRESNO, CA 93711-6167
(559) 493-5020
Mailing address
295 W CROMWELL AVE STE 102, FRESNO, CA 93711-6167
(559) 493-5020
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
04/22/2015
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