Lucas, Timothy John
Lucas, Timothy John is an individual health care provider with primary practice located at 1010 4Th St Sw Suite 100, Mason City IA 50401-2857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lucas, Timothy John can be contacted via phone (641) 424-0102.Contact Information
Primary practice address
1010 4Th St Sw Suite 100
Mason City IA 50401-2857
Phone: (641) 424-0102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 26520 | Iowa |
Profile Details
| NPI number | 1740233428 |
|---|---|
| LBN Legal business name | Lucas, Timothy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740233428 | NPPES |
| Iowa | MEDICAID | 3065714 | |
| Iowa | Other | 27996 |
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