Provider Demographics
NPI:1841266616
Name:LUKBAN, JAMES C (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:LUKBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3333 S BANNOCK ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2432
Mailing Address - Country:US
Mailing Address - Phone:303-957-1310
Mailing Address - Fax:303-761-4252
Practice Address - Street 1:601 E HAMPDEN AVE STE 460
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2797
Practice Address - Country:US
Practice Address - Phone:303-955-8059
Practice Address - Fax:303-788-6608
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0036344207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherMULTIPLAN
CO01363449Medicaid
VA279996OtherANTHEM COLLEY AVE
VAPAROtherUSA MANAGED CARE
VA010205913Medicaid
NC02184OtherBC/BS
VA5140028OtherUHC/MAMSI
VAPAROtherCIGNA
VAPAROtherFIRST HEALTH COMMERCIAL
VA10003476OtherSENTARA
VA185561OtherANTHEM
VA344436OtherANTHEM AMB SX
VAPAROtherVA PREMIER HEALTH
VAPAROtherAETNA
VA-010OtherTRICARE/CHAMPUS
VAPAROtherVA HEALTH NETWORK
VAPAROtherCORVEL/CORCARE
NC5902184Medicaid
VAPAROtherCORVEL/CORCARE
NC02184OtherBC/BS
VA344436OtherANTHEM AMB SX
VAPAROtherVA PREMIER HEALTH