Healthcare Provider Details

I. General information

NPI: 1487889168
Provider Name (Legal Business Name): CAROLYN JOY CASEY LEFKOWITS MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN JOY CASEY MD MPH

II. Dates (important events)

Enumeration Date: 05/24/2009
Last Update Date: 01/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 E 16TH AVE
AURORA CO
80045-2545
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-2066
  • Fax: 303-724-2053
Mailing address:
  • Phone: 303-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA107942
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberDR.0055468
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: