Lucas, Judith Kassner

Lucas, Judith Kassner is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Lucas, Judith Kassner can be contacted via phone (352) 265-5911.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-5911
Fax: (352) 265-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME0075032 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME75032 Florida

Profile Details

NPI number 1952407835
LBN Legal business name Lucas, Judith Kassner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 7th, 2014 - about 10 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 1952407835 NPPES
Florida MEDICAID 253472000
Florida Other 42767

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