| Lafayette Pediatrics And Internal Medicine | |
|
300 Exempla Cir Suite 420 Lafayette CO 80026-3397 | |
| (720) 565-6101 | |
| (720) 545-0106 |
| Full Name | Lafayette Pediatrics And Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Exempla Cir, Lafayette, Colorado |
| Authorized Official Name and Position | Adam Palazzari (OWNER) |
| Authorized Official Contact | 7202040960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Pediatrics And Internal Medicine 300 Exempla Cir Suite 420 Lafayette CO 80026-3397 Ph: (720) 565-6101 | Lafayette Pediatrics And Internal Medicine 300 Exempla Cir Suite 420 Lafayette CO 80026-3397 Ph: (720) 565-6101 |
| NPI Number | 1700184322 |
|---|---|
| Provider Enumeration Date | 03/06/2011 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 1153576442 |
|---|---|
| Medicare Enrollment ID | O20130313000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700184322 | NPI | - | NPPES |
| 00671754 | Medicaid | CO |
| Provider Name | Adam Aldo Palazzari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568401081 PECOS PAC ID: 8325084452 Enrollment ID: I20130313000402 |
| Provider Name | Maura Broderick Capaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386688133 PECOS PAC ID: 8426004698 Enrollment ID: I20150619000162 |
| Provider Name | Kelly Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205090883 PECOS PAC ID: 6406250372 Enrollment ID: I20210814000141 |
| Provider Name | Jacob Maxwell Browner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295517746 PECOS PAC ID: 1850747676 Enrollment ID: I20231030002588 |
| Provider Name | Sophie Huey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497516520 PECOS PAC ID: 3779922687 Enrollment ID: I20240411002235 |
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