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1831133552
LARRY LUCAS
LOGAN, WV
NPI
1831133552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WV 1915)
Enumeration Date
2006-06-15
Last Update Date
2007-11-07
Business Address
Dr. LARRY LUCAS D.O.
20 HOSPITAL DR
LOGAN, WV 25601-3452
Phone number: 304-831-1101
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Mailing Address
Dr. LARRY LUCAS D.O.
PO BOX 634706
CINCINNATI, OH 45263-0001
Phone number:
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