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98 Wadsworth Blvd Unit 120 Lakewood CO 80226-1552 | |
(303) 909-9654 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 98 Wadsworth Blvd Unit 120, Lakewood, Colorado |
Authorized Official Name and Position | Lauren Leigh Kolfenbach (CO-OWNER) |
Authorized Official Contact | 3039099654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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98 Wadsworth Blvd Unit 120 Lakewood CO 80226-1552 Ph: (720) 603-4615 | 98 Wadsworth Blvd Unit 120 Lakewood CO 80226-1552 Ph: (303) 909-9654 |
NPI Number | 1568232296 |
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Provider Enumeration Date | 01/04/2024 |
Last Update Date | 04/16/2024 |
Medicare PECOS PAC ID | 9739526583 |
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Medicare Enrollment ID | O20240328001466 |
Identifier | Type | State | Issuer |
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1568232296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lukas P Mcwhorter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538454780 PECOS PAC ID: 4284957556 Enrollment ID: I20141218001315 |
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