Anthony Michael Lucca, PA-C

NPI #1053194290 in Fort Carson, Colorado

Provider Information

NPI Number: 1053194290
Entity Type: Individual
Name: Anthony Michael Lucca, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 14, 2023
Last Updated: Jul 12, 2024

Practice Location

Address: 1650 COCHRANE CIR UNIT MEDDAC
City: Fort Carson
State: Colorado
ZIP Code: 80913-4604
Phone: (719) 526-3086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Physician Assistant	363A00000X	Primary

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