Mr. Laval Alonzo Lucas-Perry
Dental Hygienist
4727 Saint Antoine St Ste 408
Detroit
, Michigan 48201-1461
Mr. Laval Alonzo Lucas-Perry
Dental Hygienist
4727 Saint Antoine St Ste 408
Detroit
, Michigan 48201-1461
(810) 691-0245
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mr. Laval Alonzo Lucas-Perry
- 4494 Warwick Circle Dr
- Grand Blanc, MI
- Zip : 48439-8337
- Phone : (810) 691-0245
Second Address
- Mr. Laval Alonzo Lucas-Perry
- 4727 Saint Antoine St Ste 408
- Detroit, MI
- Zip : 48201-1461
- Phone : (313) 833-7309
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Is Mr. Laval Alonzo Lucas-Perry a sole practitioner?
Is Mr. Laval Alonzo Lucas-Perry accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902018904 | MI |
National Provider Identifier
| NPI | 1053952796 |
|---|---|
| Provider Name | Mr. Laval Alonzo Lucas-Perry |
| First Address | Grand Blanc, MI 48439-8337 |
| Second Address | Detroit, MI 48201-1461 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2019 |
| Last Update Date | 03/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.