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Contact Information

JOHN C LUCIO, DO
2505 MISSION DR
SUITE 200
JEFFERSON CITY, MO65109-9508
 Phone: 573-681-3759
 Fax: 573-681-3659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOHN C LUCIO · (Male)

NPI Number 1316932957
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/20/2005
Last updated 12/15/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 109799
  • MO Medicaid 248216806
  • MO Other 050050621 RR MEDICARE
Hospital affiliation(s)
  • CAPITAL REGION MEDICAL CENTER - (Acute Care)
    1125 MADISON ST
    JEFFERSON CITY, MO 65102
  • ST MARYS HEALTH CENTER - (Acute Care)
    100 ST MARY'S MEDICAL PLAZA
    JEFFERSON CITY, MO 65101
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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