Individual
MISS KATHRYN AMELIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4306
(719) 595-7886
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0068474
CO
207P00000X
Emergency Medicine Physician
OT018677
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000207320
—
CO
Enumeration date
06/21/2018
Last updated
03/18/2025
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