Lucas, Jason

Lucas, Jason is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Ste 101, Farmington NM 87401-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Lucas, Jason can be contacted via phone (505) 326-1400.

Contact Information

Primary practice address
2300 E 30Th St Bldg D Ste 101 Farmington NM 87401-8990
Fax: (505) 327-3474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X A127504 New Mexico

Profile Details

NPI number 1598749061
LBN Legal business name Lucas, Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 6th, 2008 - about 16 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 1598749061 NPPES
New Mexico Other 00NM009P18 BCBS
New Mexico MEDICAID 26220555 BCBS
New Mexico Other A-1275-04 BCBS

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