MEDICARE: LUCAS COX ARAGON

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	261Q00000X	Clinic/Center	261Q00000X	NM

General Provider Information

NPI Number	:	1194671412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCAS COX ARAGON

Provider Business Mailing Address
First Line	:	11005 PROSPECT AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-3255
Country	:	US
Telephone Number	:	505-918-2314
Fax Number	:

Provider Business Practice Location Address
First Line	:	1621 SAN PEDRO DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-6733
Country	:	US
Telephone Number	:	505-918-2314
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ LUCAS COX ARAGON ” Practice Location

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