Individual
BRENNEN LEE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9828 E SHANNON WOODS CIR # 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1674
Mailing address
9828 E SHANNON WOODS CIR # 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1674
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-29323
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
04-29323
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200670980A
—
KS
Enumeration date
05/03/2007
Last updated
10/17/2023
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