Individual
JOHN M LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
306 STANAFORD RD, ANESTHESIA DEPARTMENT, BECKLEY, WV 25801
(304) 255-3246
Mailing address
113 PINE LN, MORGANTOWN, WV 26508-8827
(304) 641-5484
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
76057
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
AC002240
MD
Other
Enumeration date
02/12/2016
Last updated
10/24/2022
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