Lucas, Jerry Allen

Lucas, Jerry Allen is an individual health care provider with primary practice located at 5354 Reynolds St Ste 315 , Savannah GA 31405-6010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Lucas, Jerry Allen can be contacted via phone (912) 354-2634.

Contact Information

Primary practice address
5354 Reynolds St Ste 315 Savannah GA 31405-6010
Phone: (912) 354-2634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101055788 Virginia
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 90992 Georgia

Profile Details

NPI number 1912016742
LBN Legal business name Lucas, Jerry Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 5th, 2024 - about 6 months 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 1912016742 NPPES
Virginia Other 45748 OPTIMA SENTARA ID#
Virginia Other 160043283Q OPTIMA SENTARA ID#
Virginia Other 541467765 OPTIMA SENTARA ID#
Virginia MEDICAID 006210082 OPTIMA SENTARA ID#
Virginia Other 20507 OPTIMA SENTARA ID#
Virginia Other 952279 OPTIMA SENTARA ID#
Virginia Other 90992 OPTIMA SENTARA ID#
Virginia Other 5414523 OPTIMA SENTARA ID#
Virginia Other 271664 OPTIMA SENTARA ID#

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