Provider Demographics
NPI:1316360126
Name:SCI ANESTHESIA PLLC
Entity Type:Organization
Organization Name:SCI ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-626-2338
Mailing Address - Street 1:PO BOX 23623
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14692-3623
Mailing Address - Country:US
Mailing Address - Phone:585-626-2338
Mailing Address - Fax:844-586-2669
Practice Address - Street 1:1240 JEFFERSON RD STE C
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3104
Practice Address - Country:US
Practice Address - Phone:585-626-2338
Practice Address - Fax:844-586-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty