Elijovich, Lucas
Elijovich, Lucas is an individual health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Elijovich, Lucas can be contacted via phone (901) 522-7700.Contact Information
Primary practice address
6325 Humphreys Blvd
Memphis TN 38120-2300
Phone: (901) 522-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A95521 | California |
Profile Details
| NPI number | 1750480554 |
|---|---|
| LBN Legal business name | Elijovich, Lucas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Sep 29th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750480554 | NPPES |
| Tennessee | MEDICAID | 1518721 |
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