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NPI Code Detail

MEDICARE: LUCUS LOCAL SCHOOLS

MEDICARE: LUCUS LOCAL SCHOOLS
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1730324609
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUCUS LOCAL SCHOOLS
Provider Business Mailing Address
First Line : 84 LUCAS NORTH RD
Second Line :
City : LUCAS
State : OH
Zip : 44843-9532
Country : US
Telephone Number : 419-892-2338
Fax Number :
Provider Business Practice Location Address
First Line : 84 LUCAS NORTH RD
Second Line :
City : LUCAS
State : OH
Zip : 44843-9532
Country : US
Telephone Number : 419-892-2338
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : MR. STEVEN E DICKERSON
Credential :
Telephone Number : 419-892-2338
Provider Enumeration Date : 12/08/2008
Last Update Date : 12/08/2008

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Directions to “LUCUS LOCAL SCHOOLS ” Practice Location

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