Shelly, Randal Lucas
Shelly, Randal Lucas is an individual health care provider with primary practice located at 400 Highland Ave , Lewistown PA 17044-1167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shelly, Randal Lucas can be contacted via phone (717) 248-5411.Contact Information
Primary practice address
400 Highland Ave
Lewistown PA 17044-1167
Phone: (717) 248-5411
Fax: (717) 242-7581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS010845L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS010845L | Pennsylvania |
Profile Details
| NPI number | 1730180126 |
|---|---|
| LBN Legal business name | Shelly, Randal Lucas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 29th, 2023 - about last year |
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 | 1730180126 | NPPES |
| Pennsylvania | Other | 080180776 | RAILROAD MEDICARE |
| Pennsylvania | Other | 120420410 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 2890315 | RAILROAD MEDICARE |
| Pennsylvania | Other | OS010845L | RAILROAD MEDICARE |
| Pennsylvania | Other | 1007307260034 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | P006022 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 50045001 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 277524 | RAILROAD MEDICARE |
| Pennsylvania | Other | 7437368 | RAILROAD MEDICARE |
| Pennsylvania | Other | 867633 | RAILROAD MEDICARE |
| Pennsylvania | Other | 172970 | RAILROAD MEDICARE |
| Pennsylvania | Other | 2198371 | RAILROAD MEDICARE |
| Pennsylvania | Other | 1533687 | RAILROAD MEDICARE |
| Pennsylvania | Other | 308445 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0018237650007 | RAILROAD MEDICARE |
| Pennsylvania | Other | 50087606 | RAILROAD MEDICARE |
| Pennsylvania | Other | 85320 | RAILROAD MEDICARE |
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