Healthcare Provider Details

I. General information

NPI: 1144383209
Provider Name (Legal Business Name): LUNGS LIMITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 W JEWELL AVE
LAKEWOOD CO
80232-7201
US

IV. Provider business mailing address

1930 SO FEDERAL BLVD
DENVER CO
80219
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-0978
  • Fax: 303-832-2138
Mailing address:
  • Phone: 303-935-9142
  • Fax: 303-934-7332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number StateCO

VIII. Authorized Official

Name: LISA L DREILING
Title or Position: MEMBER MD
Credential: MD
Phone: 303-832-0978