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1952537532 NPI number — DOUGLAS E LUCAS DO

NPI Number: 1952537532
Health Care Provider/Practitioner: DOUGLAS E LUCAS DO

Information about “1952537532” NPI (DOUGLAS E LUCAS DO) exists in 1952537532 in HTML format HTML  |  1952537532 in plain Text format TXT  |  1952537532 in PDF (Portable Document Format) PDF  |  1952537532 in an XML format XML  formats.

NPI Number : 1952537532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952537532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUCAS",
    "FirstName": "DOUGLAS",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 MERCADO ST",
    "SecondLineMailingAddress": "SUITE 202",
    "MailingAddressCityName": "DURANGO",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81301-7306",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-247-5362",
    "MailingAddressFaxNumber": "970-259-6045",
    "FirstLinePracticeLocationAddress": "800 FLEMING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENDERSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28791-3528",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-698-4318",
    "PracticeLocationAddressFaxNumber": "828-698-4322",
    "EnumerationDate": "06/09/2009",
    "LastUpdateDate": "01/04/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207XX0004X",
          "TaxonomyName": "Orthopaedic Foot and Ankle Surgery Physician",
          "LicenseNumber": "2018-02333",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "2018-02333",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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