1306846381 Lucas R Derting, PA-C
Physician Assistant
Reactivated
Basic Information
- Full Name
- Lucas R Derting, PA-C
- Gender
- Male
- Enumeration Date
- July 29, 2005
- Last Update
- November 3, 2016
- Deactivation Date
- March 22, 2006
- Reactivation Date
- April 11, 2006
Practice Location
- Address
- 1600 NORTH GRAND AVENUE
SUITE 500
PUEBLO, CO 810032757 - Phone
- (719) 545-0663
- Fax
- (719) 595-7903
Mailing Address
- Address
- PO BOX 560825
DENVER, CO 802560825 - Phone
- (719) 595-7580
- Fax
- (719) 545-0176
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physician Assistant | 363A00000X | Physician Assistant | 1080 | CO | Primary |
| Surgical Physician Assistant Surgical | 363AS0400X | Physician Assistant | 1080 | CO | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63720345 | 05 | CO | N/A |
Frequently Asked Questions
What is Lucas R Derting, PA-C's NPI number?
Lucas R Derting, PA-C's NPI number is 1306846381.
Which doctor has NPI number 1306846381?
The doctor with NPI number 1306846381 is Lucas R Derting, PA-C.
What is Lucas R Derting, PA-C's practice address?
Lucas R Derting, PA-C's practice address is 1600 NORTH GRAND AVENUE, SUITE 500, PUEBLO, CO, 810032757.
Which doctor practices at 1600 NORTH GRAND AVENUE, SUITE 500, PUEBLO, CO, 810032757?
Lucas R Derting, PA-C practices at 1600 NORTH GRAND AVENUE, SUITE 500, PUEBLO, CO, 810032757.
What is Lucas R Derting, PA-C's mailing address?
Lucas R Derting, PA-C's mailing address is PO BOX 560825, DENVER, CO, 802560825.
What is Lucas R Derting, PA-C's phone number?
Lucas R Derting, PA-C's phone number is (719) 545-0663.
Who is (719) 545-0663?
(719) 545-0663 is the phone number for Lucas R Derting, PA-C.
What is Lucas R Derting, PA-C's specialty?
Lucas R Derting, PA-C's specialty is Physician Assistant.
What type of doctor is Lucas R Derting, PA-C?
Lucas R Derting, PA-C is a Physician Assistant.
Is Lucas R Derting, PA-C a Physician Assistant?
Yes, Lucas R Derting, PA-C is a Physician Assistant.
Is Lucas R Derting, PA-C still practicing?
Yes, Lucas R Derting, PA-C has reactivated their practice and is currently practicing.
Is Lucas R Derting, PA-C accepting new patients?
Lucas R Derting, PA-C may be accepting new patients. Please call their office at (719) 545-0663 to inquire about availability.
Is NPI 1306846381 still active?
Yes, NPI 1306846381 has been reactivated and is currently active.
Where does Lucas R Derting, PA-C practice?
Lucas R Derting, PA-C practices in PUEBLO, CO.
Is Lucas R Derting, PA-C a male or female doctor?
Lucas R Derting, PA-C is a male doctor.