# LUCASVILLE MEDICAL SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568788909
- **Authorized official:** CHRISTOPHER STEGAWSKI MD (PRESIDENT)
- **Authorized official phone:** (740) 259-1416

## Contact information

- **Practice address:** 10940 STATE ROUTE 104, LUCASVILLE, OH 45648-8495
- **Practice address phone:** (740) 259-1416
- **Practice address fax:** (740) 259-2232
- **Mailing address:** 10940 STATE ROUTE 104, LUCASVILLE, OH 45648-8495
- **Mailing address phone:** (740) 259-1416
- **Mailing address fax:** (740) 259-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 1910294 | OH | Yes |

## Other

- **Enumeration date:** 04/09/2010
- **Last updated:** 04/09/2010