Henderson, Lucas
Henderson, Lucas is an individual health care provider with primary practice located at 9197 Grant St # 200 , Thornton CO 80229-4361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Henderson, Lucas can be contacted via phone (303) 450-3690.Contact Information
Primary practice address
9197 Grant St # 200
Thornton CO 80229-4361
Phone: (303) 450-3690
Fax: (303) 450-3699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 46289 | Colorado |
Profile Details
| NPI number | 1356301683 |
|---|---|
| LBN Legal business name | Henderson, Lucas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 10th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356301683 | NPPES |
| Massachusetts | Other | 222975 | CONNECTICARE |
| Massachusetts | Other | 30280 | CONNECTICARE |
| Massachusetts | Other | J28328 | CONNECTICARE |
| Massachusetts | Other | 35676 | CONNECTICARE |
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