Healthcare Provider Details

I. General information

NPI: 1437168465
Provider Name (Legal Business Name): PATRICIA LOUISE LITVAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 01/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 CHAMBERS RD STE A-D
AURORA CO
80011-1330
US

IV. Provider business mailing address

8950 EAST LOWRY BLVD INNOVAGE GREATER COLORADO PACE ATTN:GAYLE WASHINGTON
DENVER CO
80230
US

V. Phone/Fax

Practice location:
  • Phone: 303-375-0649
  • Fax:
Mailing address:
  • Phone: 303-486-5504
  • Fax: 303-486-5501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29000
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: