Individual
LUCINDA J. KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1176 E HOME RD, SUITE O, SPRINGFIELD, OH 45503-2726
(937) 398-0051
(937) 398-0054
Mailing address
1176 E HOME RD, SUITE O, SPRINGFIELD, OH 45503-2726
(937) 398-0051
(937) 398-0054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-004897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216518
ANTHEM
OH
05
—
0827707
—
OH
01
—
80195003
RAILROAD MEDICARE
OH
Enumeration date
08/30/2006
Last updated
07/08/2007
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