Paulette Lucario, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028803 Issued in IL

Practice address

4212 Joliet Ave
Lyons, IL 60534-1192

Phone

(708) 447-3200

NPI assigned

Oct 31, 2011

Last updated

Feb 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1629354980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 JOLIET AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341192",
            "telephone_number": "708-447-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 JOLIET AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341192",
            "telephone_number": "708-447-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCARIO",
        "first_name": "PAULETTE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Kukulski
• Seema Kumar, OTR
• Sudhir Kumar, OTR
• Dennis James Lencioni, ATC
• Ronald James Losiewicz, DC
• Lyons School District 103
• Anthony Mina Mankarious, PHARMD
• Jonathan Marquina, DPT
• Kelin Mendoza
• Theodoros Mikroulis, D.C.

• General Practice Dentistry in Lyons, IL
• Providers in Lyons, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.