Individual
REBECCA DIANE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, AGACNP-BC
Contact information
Practice address
975 GARDEN OF THE GODS RD STE E, COLORADO SPRINGS, CO 80907-3434
(719) 694-8782
(719) 694-9375
Mailing address
62 SAINT LO CIR, COLORADO SPRINGS, CO 80902-1700
(808) 292-2844
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
MSAPN.0000026-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
MSAPN.0000026-NP
CO
Other
Enumeration date
01/10/2021
Last updated
01/27/2025
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