Eddy Lucas is a Pediatric Radiology in Wichita, Kansas. Eddy Lucas practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Eddy Lucas is 1205832698. The last update date is 2011-10-31.
Eddy Lucas's current location address is 3600 E Harry St, Wichita, Kansas. You can contact this provider via phone number 9136424900 and fax number 9133810979. The mailing address for Eddy Lucas is 3600 E Harry St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddy Lucas |
|---|---|
| Address | 3600 E Harry St, Wichita, Kansas |
| Phone Number | 9136424900 |
| Fax Number | 9133810979 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205832698 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2011-10-31 |
Provider Mailing Address Detail
| Address | 3600 E Harry St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 6721837130 |
| Phone Number | 9136424900 |
| Fax Number | 9133810979 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 427571 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1205832698 | MO | -- | |
| 100197900A | OK | -- | |
| P00628030 | KS | RR MEDICARE | |
| 100313220H | KS | -- |
Post Comment/ Review Below
What is the Eddy Lucas's unique identification number?
The Eddy Lucas has been assigned the NPI (National Provider Identifier) Number 1205832698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Eddy Lucas's facilities are situated?
The facilities of Eddy Lucas are physically located at the following address: 3600 E Harry St, Wichita, KS, 6721837130.
What is the Eddy Lucas's specialty and taxonomy code?
The Eddy Lucas's specialty is Pediatric Radiology, and the corresponding taxonomy code is 2085P0229X.
On what date was the 1205832698 assigned to Eddy Lucas?
The Eddy Lucas was issued its 1205832698 on 2005-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Eddy Lucas most recently updated?
The details pertaining to the Eddy Lucas, including its address, specialty, and other relevant information, were last refreshed on 2011-10-31.