MEDICARE: DR. KAREN K LUCE D.D.S.,M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	62	OK

General Provider Information

NPI Number	:	1932169224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN K LUCE D.D.S.,M.S.

Provider Business Mailing Address
First Line	:	1201 N. STONEWALL AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73117
Country	:	US
Telephone Number	:	405-271-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N. STONEWALL AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73110
Country	:	US
Telephone Number	:	405-271-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	02/03/2016

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