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1548647795
STEPHANIE KATHERINE LUCAS
PUEBLO, CO
NPI
1548647795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0058648)
Enumeration Date
2015-04-27
Last Update Date
2018-06-12
Business Address
STEPHANIE KATHERINE LUCAS MD
1925 E ORMAN AVE STE A535
PUEBLO, CO 81004
Phone number: 719-564-0450
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Mailing Address
STEPHANIE KATHERINE LUCAS MD
1925 E ORMAN AVE STE A535
PUEBLO, CO 81004-3559
Phone number: 719-564-0450
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