Individual
LUCAS GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4111 1ST AVE STE 3, NITRO, WV 25143-1345
(304) 755-4797
Mailing address
4111 1ST AVE STE 3, NITRO, WV 25143-1345
(304) 755-4797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4267
WV
Other
Enumeration date
04/27/2021
Last updated
03/30/2026
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