Lucas, Walter R

Lucas, Walter R is an sole proprietor health care provider with primary practice located at 17075 Pearl Road , Strongsville OH 44136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Lucas, Walter R can be contacted via phone (440) 572-0422.

Contact Information

Primary practice address
17075 Pearl Road Strongsville OH 44136
Phone: (440) 572-0422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 35 043762 Ohio

Profile Details

NPI number 1891881504
LBN Legal business name Lucas, Walter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1891881504 NPPES
Ohio MEDICAID 0414644

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