Individual
MARSHA G LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 RIVER ROAD, GREENWOOD, MS 38930
(662) 459-7000
(662) 455-4731
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
12258
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122937
—
MS
05
—
09015445
—
MS
Enumeration date
07/20/2006
Last updated
05/01/2018
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