National Provider Identifier Database

LUCAS SURGICAL GROUP PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

LUCAS SURGICAL GROUP PA
501 W WASHINGTON ST
GREENWOOD, MS38930
Phone: 662-453-4641
Fax: 662-455-4731
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for LUCAS SURGICAL GROUP PA

NPI Number 1316166028
Legal business name
LBN
LUCAS SURGICAL GROUP PA
Authorized official MERITA HOWELL - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/24/2007
Last updated 11/10/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 00851891

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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