MEDICARE: DR. LAWRENCE SCRIMA PH.D., D,ABSM

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	173F00000X	Sleep Specialist (PhD)	NA	CO

General Provider Information

NPI Number	:	1912173055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE SCRIMA PH.D., D,ABSM

Provider Business Mailing Address
First Line	:	1390 S POTOMAC ST STE 110
Second Line	:	SLEEP-ALERTNESS DISORDERS CTR
City	:	AURORA
State	:	CO
Zip	:	80012-4529
Country	:	US
Telephone Number	:	303-671-0977
Fax Number	:	303-368-1254

Provider Business Practice Location Address
First Line	:	1390 S POTOMAC ST STE 110
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-4529
Country	:	US
Telephone Number	:	303-671-0977
Fax Number	:	303-368-1254

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

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	07/29/2010

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