Godwin, Lucas Shane

Godwin, Lucas Shane is an individual health care provider with primary practice located at Psc 466 Bx 3 , Fpo AP 96595-0001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Godwin, Lucas Shane can be contacted via phone (315) 370-4232.

Contact Information

Primary practice address
Psc 466 Bx 3 Fpo AP 96595-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1770291080
LBN Legal business name Godwin, Lucas Shane
Credentials SFIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2022
Last updated Sep 11th, 2023 - about last year

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.

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