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Dr. Lucas Lee Van Way, DO
General Practice Physician in Beaufort, South Carolina
NPI 1902486921

Lucas Lee Van Way is a General Practice Physician based in Beaufort, SC. Lucas Lee Van Way practices in Beaufort, SC and has the professional credentials of DO. The NPI Number for Lucas Lee Van Way is 1902486921 and holds a License No. 0102207551 (South Carolina).

The current practice location address for Lucas Lee Van Way is 598 Geiger Blvd, Beaufort, SC and can be reached out via phone at 843-228-7186.

Location: 598 Geiger Blvd, Beaufort, SC, 29904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902486921
Provider Name
Lucas Lee Van Way
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
598 Geiger Blvd, Beaufort, SC, 29904
Phone Number
843-228-7186
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
598 Geiger Blvd
City
Beaufort
State
South Carolina
Zip
29904
Phone Number
843-228-7186
Fax Number
person
Provider Business Mailing Address Details
Address
598 Geiger Blvd
City
Beaufort
State
South Carolina
Zip
29904
Phone Number
843-228-7186
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0102207551 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0102207551 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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