MEDICARE: JAMES C LUKBAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0036344	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PAR	OTHER	VA	MULTIPLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	279996	OTHER	VA	ANTHEM COLLEY AVE
4	PAR	OTHER	VA	USA MANAGED CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	02184	OTHER	NC	BC/BS
7	5140028	OTHER	VA	UHC/MAMSI
8	PAR	OTHER	VA	CIGNA
9	PAR	OTHER	VA	FIRST HEALTH COMMERCIAL
10	10003476	OTHER	VA	SENTARA
11	185561	OTHER	VA	ANTHEM
12	344436	OTHER	VA	ANTHEM AMB SX
13	PAR	OTHER	VA	VA PREMIER HEALTH
14	PAR	OTHER	VA	AETNA
15	-010	OTHER	VA	TRICARE/CHAMPUS
16	PAR	OTHER	VA	VA HEALTH NETWORK
17	PAR	OTHER	VA	CORVEL/CORCARE
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841266616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C LUKBAN MD

Provider Business Mailing Address
First Line	:	3333 S BANNOCK ST
Second Line	:	SUITE 350
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2432
Country	:	US
Telephone Number	:	303-957-1310
Fax Number	:	303-761-4252

Provider Business Practice Location Address
First Line	:	601 E HAMPDEN AVE STE 460
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2797
Country	:	US
Telephone Number	:	303-955-8059
Fax Number	:	303-788-6608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	07/21/2022

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Directions to “ JAMES C LUKBAN MD” Practice Location

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