Organization
VASCULAR AND RADIOLOGY SPECIALISTS LLC
Active
Organization
VASCULAR AND RADIOLOGY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY LUCAS MD (OWNER)
(316) 685-6091
Entity
Organization
Contact information
Practice address
1011 N PRESERVE, WICHITA, KS 67206
(316) 685-6091
Mailing address
1011 N PRESERVE, WICHITA, KS 67206
(316) 685-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111266
BCBS
KS
01
—
DF3149
RAILROAD MEDICARE
—
Enumeration date
09/29/2006
Last updated
08/22/2020
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