Lucas, Sasha Brooke

Lucas, Sasha Brooke is an individual health care provider with primary practice located at 102 S Charles G Seivers Blvd , Clinton TN 37716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lucas, Sasha Brooke can be contacted via phone (865) 457-4702.

Contact Information

Primary practice address
102 S Charles G Seivers Blvd Clinton TN 37716
Phone: (865) 457-4702
Fax: (865) 457-7178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO0000002800 Tennessee

Profile Details

NPI number 1356607337
LBN Legal business name Lucas, Sasha Brooke
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Jan 5th, 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 1356607337 NPPES
Tennessee MEDICAID Q013862

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