Lucas, John Fair

Lucas, John Fair is an individual health care provider with primary practice located at 501 W Washington St , Greenwood MS 38930-4237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lucas, John Fair can be contacted via phone (662) 453-4641.

Contact Information

Primary practice address
501 W Washington St Greenwood MS 38930-4237
Fax: (662) 455-4731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 09898 Mississippi

Profile Details

NPI number 1093734840
LBN Legal business name Lucas, John Fair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093734840 NPPES
Mississippi MEDICAID 00013434

Popular Providers