Individual
DR. LUCIEN T MEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
(541) 472-7811
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4207
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00034155
WA
207Q00000X
Family Medicine Physician
Primary
MD205344
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11151316
CAQH
WA
05
—
8195463
—
WA
Enumeration date
07/28/2005
Last updated
02/14/2024
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