Lucak, Thomas Jordan
Lucak, Thomas Jordan is an individual health care provider with primary practice located at 6300 E Lake Blvd Ste 201 , Vancleave MS 39565-6771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lucak, Thomas Jordan can be contacted via phone (228) 230-2663.Contact Information
Primary practice address
6300 E Lake Blvd Ste 201
Vancleave MS 39565-6771
Phone: (228) 230-2663
Fax: (228) 546-3257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 27538 | Mississippi |
Profile Details
| NPI number | 1598185563 |
|---|---|
| LBN Legal business name | Lucak, Thomas Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2014 |
| Last updated | Aug 14th, 2020 - about 4 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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