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NPI Code Detail

MEDICARE: DR. LUCIANA COSCIONE DIXON OD

MEDICARE:  DR. LUCIANA COSCIONE DIXON  OD
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
1152W00000XOptometrist4901004397MI

General Provider Information

NPI Number : 1932292687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCIANA COSCIONE DIXON OD
Provider Business Mailing Address
First Line : 332 W TIENKEN RD STE D
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4473
Country : US
Telephone Number : 248-656-5055
Fax Number : 248-656-5056
Provider Business Practice Location Address
First Line : 332 W TIENKEN RD STE D
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4473
Country : US
Telephone Number : 248-656-5055
Fax Number : 248-656-5056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 11/19/2024

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Directions to “ DR. LUCIANA COSCIONE DIXON OD” Practice Location

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