Organization
LUCAS SURGICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERITA C HOWELL (OFFICE MANAGER)
(662) 453-4641
Entity
Organization
Contact information
Practice address
501 W WASHINGTON ST, GREENWOOD, MS 38930
(662) 453-4641
(662) 455-4731
Mailing address
PO DRAWER 1974, GREENWOOD, MS 38935-1974
(662) 453-4641
(662) 455-4731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00851891
—
MS
Enumeration date
04/24/2007
Last updated
11/10/2010
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