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1518109743
LUCAS E CROAK
WESTERVILLE, OH
NPI
1518109743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OH 50.002894)
Enumeration Date
2009-04-02
Last Update Date
2015-01-07
Business Address
Mr. LUCAS E CROAK PA-C
560 N CLEVELAND AVE
WESTERVILLE, OH 43082-9105
Phone number: 614-839-2300
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Mailing Address
Mr. LUCAS E CROAK PA-C
170 TAYLOR STATION RD
COLUMBUS, OH 43213-4441
Phone number: 614-545-7900
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