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Individual

DR. LUCAS HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9197 GRANT ST # 200, THORNTON, CO 80229-4361
(303) 450-3690
(303) 450-3699
Mailing address
9197 GRANT ST # 200, THORNTON, CO 80229-4361
(303) 450-3690
(303) 450-3699

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46289
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222975
CONNECTICARE
MA
01
30280
HEALTHNET
MA
01
35676
HEALTH NEW ENGLAND
MA
01
J28328
BCBS
MA
Enumeration date
03/23/2006
Last updated
02/10/2012
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