LUCAS GOODWIN

CHARLESTON, WV
NPI1245812304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
LUCAS GOODWIN DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-4600
Mailing Address
LUCAS GOODWIN DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-4600
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