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Individual

LUCAS NJO

Active
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Individual

LUCAS NJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5075
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
L5075
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194087603
TX
01
8EH841
BCBS
TX
01
P01446496
RR
TX
Enumeration date
06/21/2006
Last updated
07/22/2022
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