Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 15175 | WV |
NPI | 1306932140 |
---|---|
Provider Name | Dr. Frank C Lucente |
First Address | Morgantown, WV 26507-7000 |
Second Address | Charleston, WV 25301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 07/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0042738000 | (05) | WV |
F21212 | (02) |