Broten, Lucas Allan

Broten, Lucas Allan is an individual health care provider with primary practice located at 1055 S Wells Ave , Reno NV 89502-2550. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Broten, Lucas Allan can be contacted via phone (775) 329-6300.

Contact Information

Primary practice address
1055 S Wells Ave Reno NV 89502-2550
Phone: (775) 329-6300
Fax: (775) 348-3896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 9716 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 861 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X PYT150330 Nevada

Profile Details

NPI number 1407101835
LBN Legal business name Broten, Lucas Allan
Credentials PH.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Oct 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407101835 NPPES
Nebraska MEDICAID 100261397-00
Nebraska MEDICAID 470376606-24
Nebraska MEDICAID 10026251000
Nebraska MEDICAID 470376606-31

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