King, Lucas Raymond

King, Lucas Raymond is an individual health care provider with primary practice located at 525 Doyle Park Dr Ste 101 , Santa Rosa CA 95405-4562. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. King, Lucas Raymond can be contacted via phone (707) 525-6620.

Contact Information

Primary practice address
525 Doyle Park Dr Ste 101 Santa Rosa CA 95405-4562
Phone: (707) 525-6620
Fax: (707) 522-1279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DR.0058676 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X C185826 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X DR.0058676 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.35064 Alabama

Profile Details

NPI number 1114216421
LBN Legal business name King, Lucas Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Dec 9th, 2025 - about last year

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 1114216421 NPPES
Colorado MEDICAID 9000148102

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