Provider Demographics
NPI:1558904375
Name:ROBINSON, LUCAS (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 W 1600 N
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-3325
Mailing Address - Country:US
Mailing Address - Phone:801-462-1774
Mailing Address - Fax:
Practice Address - Street 1:9980 S 300 W STE 105
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-3641
Practice Address - Country:US
Practice Address - Phone:801-438-3185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9033289-44052084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine