Individual
DR. LUCAS JOHN PAVLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18751
WV
207X00000X
Orthopaedic Surgery Physician
Primary
19751
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
18751
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722346
BC/BS NUMBER
WV
05
—
0098428000
—
WV
01
—
1659391472
TYPE II NPI
—
01
—
5110270001
MEDICARE DME
WV
Enumeration date
01/20/2006
Last updated
08/03/2026
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