Individual
DR. CANDYCE A. LUCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8508 STATE HIGHWAY 285, CONNEAUT LAKE, PA 16316-1120
(814) 382-5703
(814) 382-5707
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 382-5703
(814) 382-5707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007300E
PA
208D00000X
General Practice Physician
OS007300E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012221840003
—
PA
01
—
080074403
PALMETTO GBA-RAILROAD MEDICARE
PA
01
—
103660
UNISON HEALTH PLAN
PA
01
—
205088
UPMC HEALTH PLAN
PA
01
—
251754199019
MEDICAL MUTUAL OF OHIO
PA
01
—
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
—
902543
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
E70807
HEALTH AMERICA
PA
Enumeration date
05/27/2005
Last updated
02/27/2023
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