Healthcare Provider Details

I. General information

NPI: 1952445652
Provider Name (Legal Business Name): LYNN S PRICE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 06/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11245 HURON ST
WESTMINSTER CO
80234-2806
US

IV. Provider business mailing address

11245 HURON ST
WESTMINSTER CO
80234-2806
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax: 303-451-6265
Mailing address:
  • Phone: 303-338-4545
  • Fax: 303-451-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32828
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: