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Bradley Lucich, C.P.

Prosthetist in Fresno, CA. Individual provider (NPI-1).

NPI number1770770752
StatusActive
Last updated in NPPESApr 22, 2015

Details

NPI
1770770752
Entity type
Individual (NPI-1)
Name
Bradley Lucich
Credential
C.P.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2007
Last updated
Apr 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X Prosthetist––Yes

Practice location

295 W Cromwell Ave Ste 102
Fresno, CA 93711-6167

Phone 559-493-5020

Mailing address

295 W Cromwell Ave Ste 102
Fresno, CA 93711-6167

Phone 559-493-5020

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