LUCAS EDWARDS
Physician Assistant
Active
Individual
NPI: 1790315018
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085.007325 (IL) |
Frequently Asked Questions
NPI 1790315018 is the National Provider Identifier for LUCAS EDWARDS, a Physician Assistant provider located in Godfrey, IL. This NPI was enumerated on January 26, 2020.
LUCAS EDWARDS practices at 6702 GODFREY RD, Godfrey, IL 62035.
Quick Facts
- NPI
- 1790315018
- Type
- Individual
- Enumerated
- Jan 26, 2020
- Last Updated
- Jan 26, 2020
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