Lucas Polley

NPI 1023467917 · on the registry since 2016

Practice

Address: 2400 Miami Valley Dr
Sports Medicine Ceter
Centerville, OH 45459
Phone: (937) 876-9833
Organisation at this address: Patrick Mezu Md Llc
Edgar Santillan Md Llc
Fidelity Health Care Inc
Anesthesiology Services Network
Dayton Cardiology Consultants Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio