National Provider Identifier Database

WALTER R LUCAS, MD – NPI #1891881504
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

WALTER R LUCAS, MD
17075 PEARL ROAD
STRONGSVILLE, OH44136
Phone: 440-572-0422
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for WALTER R LUCAS

NPI Number 1891881504
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 35 043762
  • OH Medicaid: 0414644
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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