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Individual
DR. LUCIUS CRAIG III
Active
Individual
DR. LUCIUS CRAIG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MD 024907
LA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
28692
SC
207X00000X
Orthopaedic Surgery Physician
Primary
28692
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28692
MEDICAL LICENSE
SC
01
—
M1607
TEXAS MEDICAL LICENSE
TX
01
—
MD024907
LA STATE MEDICAL LICENSE
LA
Enumeration date
05/05/2006
Last updated
04/17/2017
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