Organization
LUCASVILLE MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STEGAWSKI MD (PRESIDENT)
(740) 259-1416
Entity
Organization
Contact information
Practice address
10940 STATE ROUTE 104, LUCASVILLE, OH 45648-8495
(740) 259-1416
(740) 259-2232
Mailing address
10940 STATE ROUTE 104, LUCASVILLE, OH 45648-8495
(740) 259-1416
(740) 259-2232
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
1910294
OH
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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