Individual
RYAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 BANNOCK STREET, MC0108, DENVER, CO 80204
(303) 602-5193
Mailing address
777 BANNOCK STREET, MC0108, DENVER, CO 80204
(303) 602-5193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0073512
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
06/25/2024
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