SearchIndiana1223D0004X

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 Llc
Inferred 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