Healthcare Provider Details

I. General information

NPI: 1518156140
Provider Name (Legal Business Name): LUCAS D SITTNER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E HARMONY RD UNIT 300
FORT COLLINS CO
80528-3403
US

IV. Provider business mailing address

2121 E HARMONY RD UNIT 300
FORT COLLINS CO
80528-3403
US

V. Phone/Fax

Practice location:
  • Phone: 970-224-9102
  • Fax: 970-224-9112
Mailing address:
  • Phone: 970-224-9102
  • Fax: 970-224-9112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number9408365
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2523
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number8895
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0077631
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: