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NPI Code Detail

MEDICARE: OLIVIA LUCAS M.D.

MEDICARE: OLIVIA LUCAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician96915SC

General Provider Information

NPI Number : 1639819352
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA LUCAS M.D.
Provider Business Mailing Address
First Line : 104 WELLS AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3837
Country : US
Telephone Number : 864-725-4673
Fax Number :
Provider Business Practice Location Address
First Line : 1325 SPRING ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3860
Country : US
Telephone Number : 864-725-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 06/01/2026

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Directions to “ OLIVIA LUCAS M.D.” Practice Location

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