Lori Prok, MD | |
13123 E 16th Ave, Aurora, CO 80045-7106 | |
(720) 777-1234 | |
Not Available |
Full Name | Lori Prok |
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Gender | Female |
Speciality | Dermatology - Pediatric Dermatology |
Location | 13123 E 16th Ave, Aurora, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356497978 | NPI | - | NPPES |
98738569 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 43918 (Colorado) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | DR.0043918 (Colorado) | Primary |
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
Mailing Address | Practice Location Address |
---|---|
Lori Prok, MD Po Box 110429, Aurora, CO 80042-0429 Ph: (303) 493-7000 | Lori Prok, MD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234 |
Robert Dellavalle, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Theresa Pacheco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Anthony Christos Parris, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Sean T Amsbaugh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1390 S Potomac St, Suite 124, Aurora, CO 80012 Phone: 303-368-8611 Fax: 303-368-9791 | |
Dr. Stanca Ariana Birlea, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0500 Fax: 720-848-0538 | |
Mariah Brown, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1665 Aurora Ct Rm 3004, Aurora, CO 80045 Phone: 720-848-0504 | |
Grant Russell Plost, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 |