Healthcare Provider Details

I. General information

NPI: 1508032293
Provider Name (Legal Business Name): DANIEL MACHT LERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 3300
DENVER CO
80218-1239
US

IV. Provider business mailing address

1601 E 19TH AVE STE 3300
DENVER CO
80218-1239
US

V. Phone/Fax

Practice location:
  • Phone: 303-837-0072
  • Fax:
Mailing address:
  • Phone: 303-837-0072
  • Fax: 303-837-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0058455
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: