Individual
DR. LESLIE A LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
120 RIVERSIDE BOULEVARD, # 5 J, NEW YORK, NY 10069
(212) 712-9492
Mailing address
120 RIVERSIDE BOULEVARD, # 5 J, NEW YORK, NY 10069
(212) 712-9492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
042723
NY
1223P0700X
Prosthodontics
Primary
042723
NY
Other
Enumeration date
02/18/2013
Last updated
10/30/2013
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