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NPI Code Detail

MEDICARE: LAKEWOOD MEDICAL CENTER CORPORATION

MEDICARE: LAKEWOOD MEDICAL CENTER CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization

General Provider Information

NPI Number : 1124450366
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEWOOD MEDICAL CENTER CORPORATION
Provider Business Mailing Address
First Line : 1700 WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-5256
Country : US
Telephone Number : 303-238-1488
Fax Number : 303-238-1459
Provider Business Practice Location Address
First Line : 1700 WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-5256
Country : US
Telephone Number : 303-238-1488
Fax Number : 303-238-1459
Authorized Official
Title or Position : PRESIDENT
Name : HAI PHONG BUI
Credential : M.D.
Telephone Number : 303-238-1488
Provider Enumeration Date : 07/30/2013
Last Update Date : 08/04/2020

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Directions to “LAKEWOOD MEDICAL CENTER CORPORATION ” Practice Location

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