Reed, Lucas S

Reed, Lucas S is an individual health care provider with primary practice located at 7845 Carnegie Blvd , Fort Wayne IN 46804-5792. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Reed, Lucas S can be contacted via phone (260) 423-2340.

Contact Information

Primary practice address
7845 Carnegie Blvd Fort Wayne IN 46804-5792
Phone: (260) 423-2340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12011774A Indiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 12011774A Indiana

Profile Details

NPI number 1033366711
LBN Legal business name Reed, Lucas S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Jul 9th, 2020 - about 4 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 1033366711 NPPES
Indiana MEDICAID 201075180

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