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1225422793

NPI Code Detail

MEDICARE: DR. LUCAS C. CARLSON MD, MPH

MEDICARE: DR. LUCAS C. CARLSON MD, MPH

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	207P00000X	Emergency Medicine Physician	53587	AL
2	207P00000X	Emergency Medicine Physician	35C.003933	OH
3	207P00000X	Emergency Medicine Physician	110843	GA
4	207P00000X	Emergency Medicine Physician	ME180532	FL
5	207P00000X	Emergency Medicine Physician	274809	MA
6	207P00000X	Emergency Medicine Physician	C5422	KY
7	207P00000X	Emergency Medicine Physician	2026-01421	NC
8	207P00000X	Emergency Medicine Physician	0101289289	VA
9	207P00000X	Emergency Medicine Physician	01099486A	IN
10	207P00000X	Emergency Medicine Physician	MD494659	PA
11	207P00000X	Emergency Medicine Physician	W4660	TX
12	207P00000X	Emergency Medicine Physician	036.179338	IL
13	207P00000X	Emergency Medicine Physician	47753	OK
14	207P00000X	Emergency Medicine Physician	77252	TN
15	207P00000X	Emergency Medicine Physician	D0089682	MD

General Provider Information

NPI Number	:	1225422793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCAS C. CARLSON MD, MPH

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 SW 145TH AVE STE 202
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33027-6171
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:	888-973-8821

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

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	06/17/2026

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Directions to “ DR. LUCAS C. CARLSON MD, MPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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