Lucas, James R

Lucas, James R is an individual health care provider with primary practice located at 111 W Hospital Dr , West Columbia SC 29169-3405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lucas, James R can be contacted via phone (803) 796-8515.

Contact Information

Primary practice address
111 W Hospital Dr West Columbia SC 29169-3405
Phone: (803) 796-8515
Fax: (803) 796-8516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MPA1695PA South Carolina

Profile Details

NPI number 1598049983
LBN Legal business name Lucas, James R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2011
Last updated Mar 31st, 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 1598049983 NPPES
South Carolina MEDICAID 1469PA

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