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NPI Code Detail

MEDICARE: LORI LYNN JENSEN MD

MEDICARE: LORI LYNN JENSEN MD
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
1207RH0003XHematology & Oncology Physician31616CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437133527
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI LYNN JENSEN MD
Provider Business Mailing Address
First Line : 7951 E MAPLEWOOD AVE
Second Line : STE 300
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-4723
Country : US
Telephone Number : 303-930-7800
Fax Number : 303-930-7860
Provider Business Practice Location Address
First Line : 4715 ARAPAHOE AVE
Second Line :
City : BOULDER
State : CO
Zip : 80303-1385
Country : US
Telephone Number : 303-385-2000
Fax Number : 303-444-1839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 02/24/2020

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Directions to “ LORI LYNN JENSEN MD” Practice Location

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