Pavlovich, Lucas John

Pavlovich, Lucas John is an individual health care provider with primary practice located at 812 Gorman Ave , Elkins WV 26241-3181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pavlovich, Lucas John can be contacted via phone (304) 636-3300.

Contact Information

Primary practice address
812 Gorman Ave Elkins WV 26241-3181
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19751 West Virginia

Profile Details

NPI number 1679553044
LBN Legal business name Pavlovich, Lucas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Apr 26th, 2024 - about 7 months 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 1679553044 NPPES
Other 1659391472 TYPE II NPI
MEDICAID 0098428000 TYPE II NPI
Other 5110270001 TYPE II NPI
Other 001722346 TYPE II NPI

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