John Albert Lucas IV M.D.

NPI 1659692952 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1659692952
Gender Male
Enumeration Date 06/21/2010
Last Updated 08/06/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2755 S HIGHWAY 14
GREER SC, 29650-4902, US
Phone (864) 849-9150
Fax (864) 849-9334
Business Location
PO BOX 743070
ATLANTA GA, 30374-3070, US
Phone (864) 560-4304
Fax (864) 560-4413
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. John Albert Lucas IV M.D. NPI is 1659692952, taxonomy code is 390200000X John Albert Lucas IV M.D. physically located at 2755 S Highway 14, Greer SC, 29650-4902. NPI Number John Albert Lucas IV M.D. has the Individual type.

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1659692952 NPI number is provided on an as is basis without warranty of any kind. 1659692952 is maintained by the National Plan & Provider Enumeration System. The contents of John Albert Lucas IV M.D. are for informational purposes only.