Lucas, Todd Jefferson
Lucas, Todd Jefferson is an sole proprietor health care provider with primary practice located at 1265 E College St Suite 9, Pulaski TN 38478-4541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lucas, Todd Jefferson can be contacted via phone (931) 424-9069.Contact Information
Primary practice address
1265 E College St Suite 9
Pulaski TN 38478-4541
Phone: (931) 424-9069
Fax: (931) 424-9079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 39634 | Tennessee |
Profile Details
| NPI number | 1184623258 |
|---|---|
| LBN Legal business name | Lucas, Todd Jefferson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 29th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184623258 | NPPES |
| Tennessee | MEDICAID | 3332157 |
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