Healthcare Provider Details

I. General information

NPI: 1821572538
Provider Name (Legal Business Name): LMARKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 WADSWORTH BLVD # 127-3150
LAKEWOOD CO
80226-1550
US

IV. Provider business mailing address

1942 BROADWAY STE 314C
BOULDER CO
80302-5233
US

V. Phone/Fax

Practice location:
  • Phone: 512-543-2326
  • Fax:
Mailing address:
  • Phone: 720-580-4893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: LIANNE MARKS
Title or Position: SELF
Credential:
Phone: 720-580-4893