MEDICARE: DR. DEBORAH LYNN FROMM 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
1	207Q00000X	Family Medicine Physician	49404	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080174626	OTHER	SD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	021347	OTHER	CO	KAISER COMMERCIAL NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8363	OTHER	SD	BCBS

General Provider Information

NPI Number	:	1467492090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH LYNN FROMM MD

Provider Business Mailing Address
First Line	:	4318 TRAIL BOSS DR
Second Line	:	SUITE 100
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-7512
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	4318 TRAIL BOSS DR
Second Line	:	SUITE 100
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-7512
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/09/2015

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Directions to “ DR. DEBORAH LYNN FROMM MD” Practice Location

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