Individual
DR. RICHARD WILLIAM LUCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40570
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807403
MEDICA
MN
05
—
126327700
—
MN
01
—
180033446
RAILROAD MEDICARE
—
01
—
46Q20LU
BLUE CROSS
MN
Enumeration date
10/07/2005
Last updated
02/20/2012
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