Lucas, David G

Lucas, David G is an individual health care provider with primary practice located at 510 Albemarle Rd , Charleston SC 29407-7540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lucas, David G can be contacted via phone (843) 723-6426.

Contact Information

Primary practice address
510 Albemarle Rd Charleston SC 29407-7540
Phone: (843) 723-6426
Fax: (843) 722-2193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21190 South Carolina

Profile Details

NPI number 1326096496
LBN Legal business name Lucas, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 25th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326096496 NPPES
South Carolina Other 010553395 TAX ID
South Carolina MEDICAID GP3374 TAX ID
South Carolina MEDICAID 211906 TAX ID
South Carolina Other 1003947490 TAX ID

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