Colorado Provider Network Llc in Lakewood, CO

Colorado Provider Network Llc is a primary clinic (Family Medicine - Adult Medicine) in Lakewood, Colorado. The current practice location for Colorado Provider Network Llc is 1435 Garrison St Ste 110, Lakewood, Colorado. For appointments, you can reach them via phone at (720) 241-3765. The mailing address for Colorado Provider Network Llc is Po Box 12375, Denver, Colorado and phone number is (970) 664-2497.

Colorado Provider Network Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1114602596. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (720) 241-3765.

Contact Information

	Colorado Provider Network Llc
	1435 Garrison St Ste 110 Lakewood CO 80215-4748
	(720) 241-3765
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Colorado Provider Network Llc
Speciality	Family Medicine - Adult Medicine
Location	1435 Garrison St Ste 110, Lakewood, Colorado
Authorized Official Name and Position	John Edward Marquez (OWNER)
Authorized Official Contact	7202413765
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Colorado Provider Network Llc Po Box 12375 Denver CO 80212-0375 Ph: (970) 664-2497	Colorado Provider Network Llc 1435 Garrison St Ste 110 Lakewood CO 80215-4748 Ph: (720) 241-3765

NPI Details:

NPI Number	1114602596
Provider Enumeration Date	06/21/2023
Last Update Date	06/21/2023

Medical Identifiers

Medical identifiers for Colorado Provider Network Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114602596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	(* (Not Available))	Primary

Reviews and Comments

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Colorado Provider Network Llc - Primary Care in Lakewood, CO