Individual
DR. LUCAS CHACON-LUTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1631 HOSPITAL DR STE 110, SANTA FE, NM 87505-7673
(505) 984-8012
Mailing address
MSC 10 5550 I UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
(505) 272-4628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2023-1010
NM
207RC0000X
Cardiovascular Disease Physician
Primary
MD2023-1010
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
05/06/2016
Last updated
05/18/2023
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