NPI | 1508145855 |
---|---|
Doing Business As | LUCAS SURGICAL GROUP |
Entity Type | Organization |
Authorized Contact | DAWNE HOLMES CFO 662-459-7119 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2011-08-04 |
Last Update Date | 2018-07-02 |