Search › Florida › 122300000X
Kathleen Lucking, D.D.S
NPI 1912345042 · on the registry since 2013
Practice
- Address
- 5400 Coraci Blvd Apt 6102
Port Orange, FL 32128 - Phone
- (989) 708-1384
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
390200000X - Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-27
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 Florida