Individual
LUCAS E CROAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5500 N MEADOWS DR, GROVE CITY, OH 43123-7687
(614) 488-1816
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002894RX
OH
363AS0400X
Surgical Physician Assistant
Primary
50.002894
OH
Other
Enumeration date
04/02/2009
Last updated
01/03/2025
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