Healthcare Provider Details

I. General information

NPI: 1770840548
Provider Name (Legal Business Name): LNM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 NEWTON ST
DENVER CO
80211
US

IV. Provider business mailing address

PO BOX 630501
LITTLETON CO
80163-0501
US

V. Phone/Fax

Practice location:
  • Phone: 303-968-7824
  • Fax: 303-395-0826
Mailing address:
  • Phone: 303-968-7824
  • Fax: 303-968-7824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTOPHER CULBERTSON
Title or Position: PRESIDENT
Credential:
Phone: 303-968-7824