# FOUR O SIX FAMILY PRACTICE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467000554
- **Authorized official:** BOBBY GENE LUCAS NP (OWNER)
- **Authorized official phone:** (406) 952-0061

## Contact information

- **Practice address:** 2517 7TH AVE S STE B2, GREAT FALLS, MT 59405-3033
- **Practice address phone:** (406) 952-0061
- **Practice address fax:** (406) 952-0064
- **Mailing address:** 2517 7TH AVE S STE B2, GREAT FALLS, MT 59405-3033
- **Mailing address phone:** (406) 952-0061
- **Mailing address fax:** (406) 952-0064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2019
- **Last updated:** 01/19/2020