Lucas, Larry

Lucas, Larry is an individual health care provider with primary practice located at 20 Hospital Dr , Logan WV 25601-3452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lucas, Larry can be contacted via phone (304) 831-1101.

Contact Information

Primary practice address
20 Hospital Dr Logan WV 25601-3452
Phone: (304) 831-1101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1915 West Virginia

Profile Details

NPI number 1831133552
LBN Legal business name Lucas, Larry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 7th, 2007 - about 19 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 1831133552 NPPES
West Virginia Other P00255866 MEDICARE RAILROAD
West Virginia Other 1061641 MEDICARE RAILROAD
West Virginia MEDICAID 3000030001 MEDICARE RAILROAD

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