MEDICARE: SAVANNAH SAGE LUCIO PA-C

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	363A00000X	Physician Assistant	PA.0009591	CO

General Provider Information

NPI Number	:	1467301663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH SAGE LUCIO PA-C

Provider Business Mailing Address
First Line	:	2851 W 23RD AVE UNIT 2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4668
Country	:	US
Telephone Number	:	970-405-9382
Fax Number	:

Provider Business Practice Location Address
First Line	:	9135 RIDGELINE BLVD STE 160
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2395
Country	:	US
Telephone Number	:	303-800-6093
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ SAVANNAH SAGE LUCIO PA-C” Practice Location

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