Lucas, Andrae C

Lucas, Andrae C is an individual health care provider with primary practice located at 1619 N Greenwood Suite 309, Pueblo CO 81003-2657. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Lucas, Andrae C can be contacted via phone (719) 544-7115.

Contact Information

Primary practice address
1619 N Greenwood Suite 309 Pueblo CO 81003-2657
Phone: (719) 544-7115
Fax: (715) 544-6242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1760559561
LBN Legal business name Lucas, Andrae C
Credentials MS CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760559561 NPPES
Colorado MEDICAID 99073773

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