Healthcare Provider Details

I. General information

NPI: 1568753739
Provider Name (Legal Business Name): CAROLYNN STARR FRANCAVILLA BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYNN FRANCAVILLA MD

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 UNION BLVD ST 311
LAKEWOOD CO
80228-1830
US

IV. Provider business mailing address

200 UNION BLVD SUITE 311
LAKEWOOD CO
80228-1830
US

V. Phone/Fax

Practice location:
  • Phone: 303-566-7170
  • Fax:
Mailing address:
  • Phone: 303-566-7170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number51619
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number51619
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: