Lucas, Mark C
Lucas, Mark C is an individual health care provider with primary practice located at 10461 Park Meadows Dr #101, Lone Tree CO 80124-5306. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Lucas, Mark C can be contacted via phone (303) 534-2626.Contact Information
Primary practice address
10461 Park Meadows Dr #101
Lone Tree CO 80124-5306
Phone: (303) 534-2626
Fax: (303) 708-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 8219 | Colorado |
Profile Details
| NPI number | 1932289865 |
|---|---|
| LBN Legal business name | Lucas, Mark C |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932289865 | NPPES |
| Colorado | MEDICAID | 99150042 |
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