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Contact Information

THE LUCAS CENTER, PLASTIC SURGERY, PLLC
10810 PARKSIDE DR
SUITE 310
KNOXVILLE, TN37934
 Phone: 865-218-6210
 Fax: 865-218-6211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THE LUCAS CENTER PLASTIC SURGERY PLLC · (Female)

NPI Number 1205185808
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2012
Last updated 08/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD0000036890
  • TN Medicaid 3879545
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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