| Lakewood Family Practice | |
|
8015 W Alameda Ave #150 Lakewood CO 80226 | |
| (303) 202-0924 | |
| (303) 989-8939 |
| Full Name | Lakewood Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 8015 W Alameda Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Hemamalini Achuthan (PRESIDENT) |
| Authorized Official Contact | 3032020924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Practice Po Box 281169 Lakewood CO 80228-8169 Ph: (303) 202-0924 | Lakewood Family Practice 8015 W Alameda Ave #150 Lakewood CO 80226 Ph: (303) 202-0924 |
| NPI Number | 1306901236 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9830183888 |
|---|---|
| Medicare Enrollment ID | O20040413000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306901236 | NPI | - | NPPES |
| 04020640 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Colorado) | Primary |
| Provider Name | Hemamalini Achuthan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205982881 PECOS PAC ID: 8820153349 Enrollment ID: I20090217000734 |
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