Individual
KELLY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 N LINCOLN ST APT 15A, DENVER, CO 80203-2768
(720) 500-5488
(720) 815-0378
Mailing address
925 N LINCOLN ST APT 15A, DENVER, CO 80203-2768
(720) 500-5488
(720) 815-0378
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
CO
363LF0000X
Family Nurse Practitioner
Primary
92148
OK
Other
Enumeration date
06/15/2018
Last updated
04/16/2026
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