Provider Demographics
NPI:1932292687
Name:DIXON, LUCIANA COSCIONE (OD)
Entity Type:Individual
Prefix:DR
First Name:LUCIANA
Middle Name:COSCIONE
Last Name:DIXON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 W TIENKEN RD STE D
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4473
Mailing Address - Country:US
Mailing Address - Phone:248-656-5055
Mailing Address - Fax:248-656-5056
Practice Address - Street 1:332 W TIENKEN RD STE D
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-4473
Practice Address - Country:US
Practice Address - Phone:248-656-5055
Practice Address - Fax:248-656-5056
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist