King, Lucas Raymond

King, Lucas Raymond is an individual health care provider with primary practice located at 3676 Parker Blvd. Ste 310, Pueblo CO 81008-2215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. King, Lucas Raymond can be contacted via phone (719) 595-7780.

Contact Information

Primary practice address
3676 Parker Blvd. Ste 310 Pueblo CO 81008-2215
Phone: (719) 595-7780
Fax: (719) 595-7789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.35064 Alabama
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C185826 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X DR.0058676 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DR.0058676 Colorado

Profile Details

NPI number 1114216421
LBN Legal business name King, Lucas Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Jun 5th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114216421 NPPES
Colorado MEDICAID 9000148102

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