Individual provider · Type 1 NPI

Lucas Broadhurst, CPO

Prosthetist · Sacramento, CA

NPI number 1588950653 Active

Practice location

3001 L St
Sacramento, CA 95816-5225

Fax (916) 706-1551

Mailing address

1700 N Chrisman Rd
Tracy, CA 95304-9314

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XNone listed
Prosthetist Primary 224P00000XNone listed
Orthotic Fitter 225000000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1588950653

Lucas Broadhurst, CPO's National Provider Identifier is 1588950653, issued on Jun 27, 2011. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 10, 2012.