Individual
JASON RICK LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3300
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
13398228-0501
UT
Other
Enumeration date
03/25/2020
Last updated
07/20/2023
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