Lucas, Brennen Lee
Lucas, Brennen Lee is an individual health care provider with primary practice located at 9828 E Shannon Woods Cir # 100 , Wichita KS 67226-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Lucas, Brennen Lee can be contacted via phone (316) 631-1600.Contact Information
Primary practice address
9828 E Shannon Woods Cir # 100
Wichita KS 67226-4100
Phone: (316) 631-1600
Fax: (316) 631-1674
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 04-29323 | Kansas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 04-29323 | Kansas |
Profile Details
NPI number | 1154543601 |
---|---|
LBN Legal business name | Lucas, Brennen Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Oct 17th, 2023 - about 2 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 | 1154543601 | NPPES |
Kansas | MEDICAID | 200670980A |
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