Lucas, Eddy
Lucas, Eddy is an individual health care provider with primary practice located at 3600 E Harry St , Wichita KS 67218-3713. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lucas, Eddy can be contacted via phone (913) 642-4900.Contact Information
Primary practice address
3600 E Harry St
Wichita KS 67218-3713
Phone: (913) 642-4900
Fax: (913) 381-0979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0427571 | Kansas |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 0427571 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0427571 | Kansas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 0427571 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 0427571 | Kansas |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 0427571 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 0427571 | Kansas |
Profile Details
| NPI number | 1205832698 |
|---|---|
| LBN Legal business name | Lucas, Eddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 31st, 2011 - about 13 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 | 1205832698 | NPPES |
| Missouri | MEDICAID | 1205832698 | |
| Missouri | MEDICAID | 100197900A | |
| Missouri | Other | P00628030 | |
| Missouri | MEDICAID | 100313220H |
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