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General NPI Number Information
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NPI Number | 1992167225
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Entity Type | Individual
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Provider Name | LUCAS KRIS STOWERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 3920 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4900
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Country | US
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Telephone | 33-384-5453
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 E DAKOTA AVE
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City | DENVER
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State | CO
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Zip | 80247-1314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 77749
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | ME145478
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | DR.0059082
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License Number State | CO
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