Lucius, Richard William

Lucius, Richard William is an individual health care provider with primary practice located at 2055 15Th St N , Saint Cloud MN 56303-1747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lucius, Richard William can be contacted via phone (320) 251-1432.

Contact Information

Primary practice address
2055 15Th St N Saint Cloud MN 56303-1747
Phone: (320) 251-1432
Fax: (320) 251-7122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 40570 Minnesota

Profile Details

NPI number 1083602783
LBN Legal business name Lucius, Richard William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 20th, 2012 - about 13 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 1083602783 NPPES
Minnesota Other 0807403 MEDICA
Minnesota Other 180033446 MEDICA
Minnesota Other 46Q20LU MEDICA
Minnesota MEDICAID 126327700 MEDICA

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