Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35094933 | OH |
N | 111NI0900X | Internist | 35094933 | OH |
N | 208000000X | Pediatrician | 35.094933 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 35094933 | OH |
NPI | 1306007422 |
---|---|
Provider Name | Lucas V. Mcknight |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 24/02/2021 |