Provider Demographics
NPI:1699842732
Name:LUCHINI, CATHERINE KILBOURNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:KILBOURNE
Last Name:LUCHINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E HASTINGS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1900
Mailing Address - Country:US
Mailing Address - Phone:509-252-4746
Mailing Address - Fax:509-789-1640
Practice Address - Street 1:506 E HASTINGS RD
Practice Address - Street 2:SUITE B
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1900
Practice Address - Country:US
Practice Address - Phone:509-252-4746
Practice Address - Fax:509-789-1640
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA65251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5010848Medicaid