Lucks, Matthew Adam

Lucks, Matthew Adam is an individual health care provider with primary practice located at 700 S Washington St Ste 330 , Alexandria VA 22314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lucks, Matthew Adam can be contacted via phone (703) 717-7780.

Contact Information

Primary practice address
700 S Washington St Ste 330 Alexandria VA 22314
Phone: (703) 717-7780
Fax: (703) 717-7781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101264632 Virginia

Profile Details

NPI number 1215905724
LBN Legal business name Lucks, Matthew Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215905724 NPPES
California MEDICAID 00A914470

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