Lucas, Roberta

Lucas, Roberta is an individual health care provider with primary practice located at 18 Old Etna Rd Dh Dermatology, Lebanon NH 03756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Lucas, Roberta can be contacted via phone (603) 650-4000.

Contact Information

Primary practice address
18 Old Etna Rd Dh Dermatology Lebanon NH 03756
Phone: (603) 650-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16482 New Hampshire

Profile Details

NPI number 1326089061
LBN Legal business name Lucas, Roberta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Nov 18th, 2016 - about 10 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 1326089061 NPPES
Illinois MEDICAID 036-106720
Illinois MEDICAID 3097005

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