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Individual

LUCAS RAYMOND KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
525 DOYLE PARK DR STE 101, SANTA ROSA, CA 95405-4562
(707) 525-6620
(707) 522-1279
Mailing address
525 DOYLE PARK DR STE 101, SANTA ROSA, CA 95405-4562
(707) 525-6620
(707) 522-1279

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0058676
CO
207X00000X
Orthopaedic Surgery Physician
MD.35064
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
C185826
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DR.0058676
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000148102
CO
Enumeration date
04/07/2011
Last updated
12/09/2025
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