Healthcare Provider Details

I. General information

NPI: 1225656713
Provider Name (Legal Business Name): LHP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4386 TRAIL BOSS DR STE B
CASTLE ROCK CO
80104-7512
US

IV. Provider business mailing address

511 SCOTTISH PL
CASTLE ROCK CO
80104-3345
US

V. Phone/Fax

Practice location:
  • Phone: 720-496-7475
  • Fax: 720-528-7730
Mailing address:
  • Phone: 720-496-7475
  • Fax: 720-528-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD SCOTT SZUSZCZEWICZ
Title or Position: PRESIDENT / OWNER
Credential: MD
Phone: 720-496-7475