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Lucas Surgical Group Pa
Specialist in Greenwood, Mississippi
NPI 1316166028

Lucas Surgical Group Pa is a Specialist based in Greenwood, MS. Lucas Surgical Group Pa practices in Greenwood, MS. The NPI Number for Lucas Surgical Group Pa is 1316166028 and holds a License No. (Mississippi).

The current practice location address for Lucas Surgical Group Pa is 501 W Washington St, Greenwood, MS and can be reached out via phone at 662-453-4641 and via fax at 662-455-4731.

Location: 501 W Washington St, Greenwood, MS, 38935-1974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316166028
Provider Name
Lucas Surgical Group Pa
Credential
Provider Entity Type
Organization
Address
501 W Washington St, Greenwood, MS, 38935-1974
Phone Number
662-453-4641
Fax Number
662-455-4731
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00851891 05 MS
institution
Provider Business Practice Location Address Details
Address
501 W Washington St
City
Greenwood
State
Mississippi
Zip
38930
Phone Number
662-453-4641
Fax Number
662-455-4731
person
Provider Business Mailing Address Details
Address
501 W Washington St
City
Greenwood
State
Mississippi
Zip
38930
Phone Number
662-453-4641
Fax Number
662-455-4731
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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.
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