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Lucian Boboia, DDS
NPI 1215004783 · on the registry since 2006
Practice
- Address
- 3030 Lake Ave Ste 15
Fort Wayne, IN 46805 - Phone
- (512) 902-9997
- Organisation at this address
- Drs. Nelson & Menon
Health Essential Llc
Thomas P Van Den Driessche
Legacy Treatment Center Llc
Renewal Therapy Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 1223D0004X
1223D0004X
- Also registered as
- 1223P0221X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana