Individual
DR. JOSHUA TAD LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2058
WV
207P00000X
Emergency Medicine Physician
34.009223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007483
—
WV
Enumeration date
02/08/2007
Last updated
05/28/2019
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