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NPI Code Detail

MEDICARE: LUCAS SIMPSON

MEDICARE: LUCAS SIMPSON
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
1106S00000XBehavior TechnicianRBT-23-284665CO

General Provider Information

NPI Number : 1932820438
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS SIMPSON
Provider Business Mailing Address
First Line : 9895 PROMINENT PEAK HTS APT 305
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-8638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13931 SIERRA STAR CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-2976
Country : US
Telephone Number : 719-283-1406
Fax Number : 719-249-5834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2022
Last Update Date : 06/19/2026

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Directions to “ LUCAS SIMPSON ” Practice Location

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