Organization · Type 2 NPI
Colorado Provider Network LLC
Adult Medicine Physician · Lakewood, CO
NPI number
1114602596
Active
Practice location
1435 Garrison St Ste 110
Lakewood, CO 80215-4748
Mailing address
PO Box 12375
Denver, CO 80212-0375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
Other adult medicine physician providers in Lakewood
About NPI 1114602596
Colorado Provider Network LLC's National Provider Identifier is 1114602596, issued on Jun 21, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lakewood, CO. The record was last updated on Jun 21, 2023.