Lucas, Christine Marie

Lucas, Christine Marie is an individual health care provider with primary practice located at 513 N Main St , Anna IL 62906-1668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lucas, Christine Marie can be contacted via phone (618) 833-4471.

Contact Information

Primary practice address
513 N Main St Anna IL 62906-1668
Phone: (618) 833-4471
Fax: (618) 833-6267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-099486 Illinois

Profile Details

NPI number 1346248374
LBN Legal business name Lucas, Christine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346248374 NPPES
Illinois Other 036099486 IDPA FEE FOR SERVICE
Illinois Other 048870 IDPA FEE FOR SERVICE
Illinois Other 415518 IDPA FEE FOR SERVICE
Illinois Other G96923 IDPA FEE FOR SERVICE
Illinois Other G96923 IDPA FEE FOR SERVICE
Illinois MEDICAID 036-099486 IDPA FEE FOR SERVICE
Illinois Other G96923 IDPA FEE FOR SERVICE
Illinois Other G96923 IDPA FEE FOR SERVICE

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