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NPI Code Detail

MEDICARE: DR. LUCYNA OLKOWSKA FRENDI D.M.D.

MEDICARE: DR. LUCYNA OLKOWSKA FRENDI D.M.D.
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
11223G0001XGeneral Practice Dentistry5073AL

General Provider Information

NPI Number : 1942397781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCYNA OLKOWSKA FRENDI D.M.D.
Provider Business Mailing Address
First Line : 7561 WALL TRIANA HWY
Second Line :
City : MADISON
State : AL
Zip : 35757-8327
Country : US
Telephone Number : 256-325-0035
Fax Number : 256-325-0030
Provider Business Practice Location Address
First Line : 7561 WALL TRIANA HWY
Second Line :
City : MADISON
State : AL
Zip : 35757-8327
Country : US
Telephone Number : 256-325-0035
Fax Number : 256-325-0030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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