Individual
LUCAS ERIC JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
3051 CURTIS ST, DENVER, CO 80205-2753
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
PHA.0023906
CO
Other
Enumeration date
04/26/2017
Last updated
12/22/2022
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