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Contact Information

JON F LUCAS, MD
200 PATEWOOD DR
STE A200
GREENVILLE, SC29615-3593
 Phone: 864-454-5120
 Fax: 864-454-5106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JON F LUCAS · (Male)

NPI # 1386690030
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 07/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 22252
  • SC Medicaid 222529
Hospital affiliation(s) Not Available
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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