Grove, Lucian Y

Grove, Lucian Y is an individual health care provider with primary practice located at 1935 W Main St , Salem VA 24153-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grove, Lucian Y can be contacted via phone (540) 302-0190.

Contact Information

Primary practice address
1935 W Main St Salem VA 24153-3109
Phone: (540) 302-0190
Fax: (540) 302-0191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101038042 Virginia

Profile Details

NPI number 1538136932
LBN Legal business name Grove, Lucian Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Apr 17th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538136932 NPPES
Virginia MEDICAID 005884322

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