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1053194290
ANTHONY MICHAEL LUCCA
FORT CARSON, CO
NPI
1053194290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2023-08-14
Last Update Date
2024-07-12
Business Address
ANTHONY MICHAEL LUCCA PA-C
1650 COCHRANE CIR UNIT MEDDAC
FORT CARSON, CO 80913-4604
Phone number: 719-526-3086
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Mailing Address
ANTHONY MICHAEL LUCCA PA-C
1650 COCHRANE CIR UNIT MEDDAC
FORT CARSON, CO 80913-4604
Phone number: 719-526-3086
Copy
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