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Contact Information

KELLY LUCAS
925 N LINCOLN ST APT 15A
DENVER, CO80203-2768
 Phone: 720-500-5488
 Fax: 720-815-0378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for

NPI Number 1861986762
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/15/2018
Last updated 04/16/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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