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Contact Information

LUCAS SURGICAL GROUP PA
501 W WASHINGTON ST
GREENWOOD, MS38930
 Phone: 662-453-4641
 Fax: 662-455-4731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LUCAS SURGICAL GROUP PA

NPI Number 1316166028
LBN Legal business name LUCAS SURGICAL GROUP PA
Authorized official MERITA HOWELL - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2007
Last updated 11/10/2010 - About 16 years ago
Identifiers
MS Medicaid 00851891
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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