Individual
DR. LUCIUS CRAIG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 BELLE CHASSE HWY, SUITE I, TERRYTOWN, LA 70056-7156
(504) 391-7670
(504) 378-9437
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MD 024907
LA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
28692
SC
207X00000X
Orthopaedic Surgery Physician
Primary
28692
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28692
MEDICAL LICENSE
SC
01
—
M1607
TEXAS MEDICAL LICENSE
TX
01
—
MD024907
LA STATE MEDICAL LICENSE
LA
Enumeration date
05/05/2006
Last updated
04/17/2017
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