MEDICARE: LISA ROSE ROTHLEIN-NARON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0054801	CO

General Provider Information

NPI Number	:	1588007785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ROSE ROTHLEIN-NARON

Provider Business Mailing Address
First Line	:	601 E HAMPDEN AVE STE 470
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2797
Country	:	US
Telephone Number	:	303-788-3100
Fax Number	:	720-746-6308

Provider Business Practice Location Address
First Line	:	601 E HAMPDEN AVE STE 470
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2797
Country	:	US
Telephone Number	:	303-788-3100
Fax Number	:	720-746-6308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	04/22/2025

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