Provider Demographics
NPI:1851301881
Name:HESKY FISHER LUKNIC MDSPC
Entity Type:Organization
Organization Name:HESKY FISHER LUKNIC MDSPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:HESKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-860-9100
Mailing Address - Street 1:2005 FRANKLIN ST STE 170
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5402
Mailing Address - Country:US
Mailing Address - Phone:303-860-9100
Mailing Address - Fax:303-860-8735
Practice Address - Street 1:2005 FRANKLIN ST STE 170
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5402
Practice Address - Country:US
Practice Address - Phone:303-860-9100
Practice Address - Fax:303-860-8735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04008371Medicaid
COCC2608Medicare ID - Type Unspecified