Brennen Lee Lucas in Wichita - Sports Medicine
Brennen Lee Lucas - NPI 1154543601
Brennen Lee Lucas is a Sports Medicine in Wichita, Kansas. Brennen Lee Lucas practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Brennen Lee Lucas is 1154543601. The last update date is 2023-10-17.
Brennen Lee Lucas's current location address is 9828 E Shannon Woods Cir # 100, Wichita, Kansas. You can contact this provider via phone number 3166311600 and fax number 3166311674. The mailing address for Brennen Lee Lucas is 9828 E Shannon Woods Cir # 100, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brennen Lee Lucas |
|---|---|
| Address | 9828 E Shannon Woods Cir # 100, Wichita, Kansas |
| Phone Number | 3166311600 |
| Fax Number | 3166311674 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154543601 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 9828 E Shannon Woods Cir # 100 |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672264100 |
| Phone Number | 3166311600 |
| Fax Number | 3166311674 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 04-29323 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200670980A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brennen Lee Lucas by the Centers for Medicare & Medicaid Services?
The Brennen Lee Lucas has been assigned the NPI (National Provider Identifier) 1154543601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Brennen Lee Lucas?
The Brennen Lee Lucas is situated at 9828 E Shannon Woods Cir # 100, in the city of Wichita, state of KS, with the zip code 672264100.
What is Brennen Lee Lucas's area of expertise and its corresponding taxonomy classification?
The Brennen Lee Lucas's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.
When did the Brennen Lee Lucas receive its 1154543601?
The Brennen Lee Lucas was issued its 1154543601 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Brennen Lee Lucas most recently updated?
The details pertaining to the Brennen Lee Lucas, including its address, specialty, and other relevant information, were last refreshed on 2023-10-17.