SearchColoradoPhysician Assistant

Lucas Derting, PA-C

NPI 1306846381 · on the registry since 2005

Practice

Address
1600 North Grand Avenue
Suite 500
Pueblo, CO 81003
Phone
(719) 545-0663
Fax
(719) 595-7903
Organisation at this address
Lirio S. Polintan Md Pc
Womens Health Center Inc
Stephen A. Smith, Md, Pc
Pueblo Family Medicine, Pc
Pueblo Pulmonary Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Surgical Physician Assistant
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado