Lucas, Edward E.
Lucas, Edward E. is an sole proprietor health care provider with primary practice located at 2961 Rivermeade Dr Nw , Atlanta GA 30327-2039. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Lucas, Edward E. can be contacted via phone (404) 313-1243.Contact Information
Primary practice address
2961 Rivermeade Dr Nw
Atlanta GA 30327-2039
Phone: (404) 313-1243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN007894 | Georgia |
Profile Details
| NPI number | 1982724092 |
|---|---|
| LBN Legal business name | Lucas, Edward E. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jan 20th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982724092 | NPPES |
| Georgia | MEDICAID | 000150323A | |
| Georgia | Other | 000150323B |
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