Doctor Name: | DR. LISA MARIE LUCAS |
NPI Number: | 1881753143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 38995 |
Business Practice Address: | 3525 W Oxford Ave Denver, CO - 802363127 |
Business Phone Number: | 3038667755 |
Business Fax Number: | 3038667053 |
Mailing Address: | 3525 W Oxford Ave, DENVER |
State: | CO |
Postal Code: | 802363127 |
Phone Number: | 3038667050 |
Fax Number: | 3038667053 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 02/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 38995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |