LUCAS GOODWIN

NITRO, WV
NPI1245812304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  4267)
Enumeration Date2021-04-27
Last Update Date2024-07-15
Business Address
LUCAS GOODWIN DO
4111 1ST AVE STE 3
NITRO, WV 25143-1345
Phone number: 304-755-4797
Mailing Address
LUCAS GOODWIN DO
4111 1ST AVE STE 3
NITRO, WV 25143-1345
Phone number: 304-755-4797