| Nortib Llc | |
|
393 S Harlan St Ste 100 Lakewood CO 80226-3569 | |
| (303) 339-0868 | |
| (720) 630-8666 |
| Full Name | Nortib Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 393 S Harlan St Ste 100, Lakewood, Colorado |
| Authorized Official Name and Position | Kang Ho (OWNER) |
| Authorized Official Contact | 3033390868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nortib Llc 393 S Harlan St Ste 100 Lakewood CO 80226-3569 Ph: (303) 339-0868 | Nortib Llc 393 S Harlan St Ste 100 Lakewood CO 80226-3569 Ph: (303) 339-0868 |
| NPI Number | 1861241267 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 9436691821 |
|---|---|
| Medicare Enrollment ID | O20240613000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861241267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lukas P Mcwhorter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538454780 PECOS PAC ID: 4284957556 Enrollment ID: I20141218001315 |
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