DR. CANDYCE A. LUCIAN (NPI# 1871596429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871596429 |
| Entity Type | Individual |
| Full Name | DR. CANDYCE A. LUCIAN |
| Credential | D.O. |
| Practice Address |
8508 State Hwy 285 Conneaut Lake PA 16316-1120 |
| Practice Telephone | 8143825703 |
| Practice Fax Number | 8143825707 |
| Mailing Telephone | 8143825703 |
| Mailing Fax Number | 8143825707 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS007300E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE CROSS BLUE SHIELD | 902543 | 01 |
| PA | UNISON HEALTH PLAN | 103660 | 01 |
| PA | PALMETTO GBA-RAILROAD MEDICARE | 080074403 | 01 |
| PA | HEALTH AMERICA | E70807 | 01 |
| PA | UPMC HEALTH PLAN | 205088 | 01 |
| PA | NATIONAL SUPPLIERS CLEARINGHOUSE | 4235190002 | 01 |
| PA | 0012221840003 | 05 | |
| PA | MEDICAL MUTUAL OF OHIO | 251754199019 | 01 |
| Street Address |
8508 STATE HWY 285 |
| City | CONNEAUT LAKE |
| State | PA |
| Zip Code | 16316-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268858 | Kimberly Nicole Litwin | Pharmacist | 100 South 3rd Street, Conneaut Lake, PA 16316 | 2019-07-30 |
| 1285800862 | Beverly A Kennedy | Pharmacist | 100 S Third St, Conneaut Lake, PA 16316 | 2008-05-05 |
| 1063596708 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 100 South Third Street, Conneaut Lake, PA 16316 | 2006-10-25 |
| 1295829273 | Chrissy M Bosley | Counselor | 11147 State Hwy 18 Suite #5, Suite #5, Conneaut Lake, PA 16316 | 2006-10-03 |
| 1992713903 | Lakeside Chiropractic PC | Chiropractor | 200 N Third St, Conneaut Lake, PA 16316 | 2006-08-04 |
| 1447220751 | Conneaut Lake Area Ambulance Service | Ambulance | 290 S 4th St Extension, Conneaut Lake, PA 16316 | 2006-01-26 |
| 1275516619 | Paul Thomas Foulk | Dentist | 155 N 3rd St, Conneaut Lake, PA 16316 | 2005-11-21 |
| 1558661413 | Denise Lee Bean | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2010-10-26 |
| 1194922310 | Leighanne Young | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2007-06-29 |
| 1003929308 | Timothy B Vyrostek | Chiropractor | 200 N Third St, Lakeside Chiropractic PC, Conneaut Lake, PA 16316 | 2006-08-17 |
| Find all providers in zip 16316 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | CONNEAUT LAKE |
| Zip Code | 16316 |
Please comment or provide details below to improve the information on DR. CANDYCE A. LUCIAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.