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NPI Code Detail

MEDICARE: BRYONY LUCAS DO

MEDICARE: BRYONY LUCAS DO
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
1208000000XPediatrics Physician34.017770OH
22080P0207XPediatric Hematology & Oncology Physician34.017770OH
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1013477488
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYONY LUCAS DO
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2019
Last Update Date : 02/11/2026

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