Lucio, John C.

Lucio, John C. is an individual health care provider with primary practice located at 2505 Mission Dr Suite 200, Jefferson City MO 65109-9508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Lucio, John C. can be contacted via phone (573) 681-3759.

Contact Information

Primary practice address
2505 Mission Dr Suite 200 Jefferson City MO 65109-9508
Phone: (573) 681-3759
Fax: (573) 681-3659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 109799 Missouri
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 109799 Missouri

Profile Details

NPI number 1316932957
LBN Legal business name Lucio, John C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 15th, 2020 - about 6 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 1316932957 NPPES
Missouri Other 050050621 RR MEDICARE
Missouri MEDICAID 248216806 RR MEDICARE

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