Individual
JESSICA GEIMER LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2129
WV
207RN0300X
Nephrology Physician
Primary
2129
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2754694
—
OH
05
—
3810009080
—
WV
01
—
P00429155
RAILROAD MEDICARE
—
Enumeration date
04/18/2007
Last updated
05/16/2012
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