Lucker, J Donald
Lucker, J Donald is an individual health care provider with primary practice located at 9485 Mentor Avenue #101, Mentor OH 44060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lucker, J Donald can be contacted via phone (440) 205-5800.Contact Information
Primary practice address
9485 Mentor Avenue #101
Mentor OH 44060
Phone: (440) 205-5800
Fax: (440) 205-5801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-023870 | Ohio |
Profile Details
| NPI number | 1811003130 |
|---|---|
| LBN Legal business name | Lucker, J Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Apr 4th, 2008 - about 16 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 | 1811003130 | NPPES |
| Ohio | MEDICAID | 0197059 |
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