Healthcare Provider Details

I. General information

NPI: 1063543031
Provider Name (Legal Business Name): LML HEALTH CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9218 KIMMER DR STE 203
LONE TREE CO
80124-6733
US

IV. Provider business mailing address

9218 KIMMER DR STE 203
LONE TREE CO
80124-6733
US

V. Phone/Fax

Practice location:
  • Phone: 720-851-8176
  • Fax: 720-851-8230
Mailing address:
  • Phone: 720-851-8176
  • Fax: 720-851-8230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number38525
License Number StateCO

VIII. Authorized Official

Name: LARA MARIE LANE
Title or Position: PRESIDENT, LML HEALTH CARE PC
Credential: M.D.
Phone: 720-851-8176