Lucas, John R

Lucas, John R is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lucas, John R can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Fax: (540) 981-9550
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102201280 Virginia

Profile Details

NPI number 1093776643
LBN Legal business name Lucas, John R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 20th, 2008 - about 16 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 1093776643 NPPES
Virginia MEDICAID 005874904
Virginia MEDICAID 005874912
Virginia MEDICAID 010049628
Virginia MEDICAID 010093619
Virginia MEDICAID 010108675
Virginia MEDICAID 010049024

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