| Lakewood Medical Center | |
|
2020 Wadsworth Blvd #17 Lakewood CO 80214-5728 | |
| (303) 238-1488 | |
| Not Available |
| Full Name | Lakewood Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2020 Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Hai Phong Bui (CEO) |
| Authorized Official Contact | 3032381488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Medical Center 2020 Wadsworth Blvd #17 Lakewood CO 80214-5728 Ph: (303) 238-1488 | Lakewood Medical Center 2020 Wadsworth Blvd #17 Lakewood CO 80214-5728 Ph: (303) 238-1488 |
| NPI Number | 1295864833 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295864833 | NPI | - | NPPES |
| 33410 | Other | CO | STATE LISCENSE |
| 01334101 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33410 (Colorado) | Primary |
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