Individual
LUCIAN Y GROVE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 302-0190
(540) 302-0191
Mailing address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 302-0190
(540) 302-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038042
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005884322
—
VA
Enumeration date
03/03/2006
Last updated
04/17/2015
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