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Individual

DR. LUCAS CRAIG ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
900 ELM AVE, ROCKY FORD, CO 81067-1249
(719) 469-8895
(719) 254-7908
Mailing address
605 N 9TH ST, ROCKY FORD, CO 81067-1013
(719) 469-8895

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6884
CO
111N00000X
Chiropractor
Primary
CHR6884
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
961450955
TRIWEST
CO
Enumeration date
06/26/2012
Last updated
06/14/2022
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