| Doctor Name: | DR. CANDYCE A. LUCIAN |
| NPI Number: | 1871596429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | OS007300E |
| Business Practice Address: | 8508 State Hwy 285 Conneaut Lake, PA - 163161120 |
| Business Phone Number: | 8143825703 |
| Business Fax Number: | 8143825707 |
| Mailing Address: | 8508 State Hwy 285, CONNEAUT LAKE |
| State: | PA |
| Postal Code: | 163161120 |
| Phone Number: | 8143825703 |
| Fax Number: | 8143825707 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 12/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS007300E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |