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Jesse Lucabaugh
NPI 1225786197 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2601 Willard Rd Ste 105
Richmond, VA 23294 - Phone
- (046) 661-8799
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-10
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 Virginia