Dr Lisa Marin Sommers Szczepanski, MD | |
580 Mohawk Dr, Boulder, CO 80303-3712 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Lisa Marin Sommers Szczepanski |
---|---|
Gender | Female |
Speciality | Internal Medicine - Infectious Disease |
Location | 580 Mohawk Dr, Boulder, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396788311 | NPI | - | NPPES |
024718 | Other | CO | KAISER COMMERCIAL NUMBER |
13358766 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 43045 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Marin Sommers Szczepanski, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Lisa Marin Sommers Szczepanski, MD 580 Mohawk Dr, Boulder, CO 80303-3712 Ph: (303) 338-4545 |
Ms. Martha E Montour, RN Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-440-2690 | |
Chester J Dreiman, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2562 Briarwood Dr, Boulder, CO 80305 Phone: 303-501-2195 | |
Pamela G Ingram, MSN Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-554-5164 | |
Bradley D Fanestil, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4801 Riverbend Rd Ste 120b, Boulder, CO 80301 Phone: 303-415-8615 Fax: 303-293-0628 | |
Dr. Joseph Randall Lutt, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1840 Folsom St Ste 105, Boulder, CO 80302 Phone: 720-494-4706 Fax: 720-494-4706 | |
Dr. Amy O Campbell, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 100, Boulder, CO 80304 Phone: 303-327-7047 Fax: 303-443-7168 | |
Wael F. Garas, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-415-4250 Fax: 303-440-9629 |