Individual
DR. LUCAS R CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-2408
(719) 391-2336
(719) 391-1625
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202128
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55975364
—
CO
01
—
DEN.00202128
CO OPTOMETRY LICENSE
CO
Enumeration date
07/08/2013
Last updated
06/12/2019
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