MEDICARE: LAWRENCE D BUB 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	2085N0700X	Neuroradiology Physician	43516	CO
2	2085R0202X	Diagnostic Radiology Physician	43516	CO

General Provider Information

NPI Number	:	1639152655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE D BUB MD

Provider Business Mailing Address
First Line	:	11995 SINGLETREE LN
Second Line	:	SUITE 500
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-5347
Country	:	US
Telephone Number	:	952-595-1301
Fax Number	:	612-294-4903

Provider Business Practice Location Address
First Line	:	2561 S SAINT PAUL ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-6218
Country	:	US
Telephone Number	:	952-595-1100
Fax Number	:	612-294-4903

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	08/14/2013

Similar Medicare Providers

1588061543 — AZ TECH RADIOLOGY AND OPEN MRI LLC
Practice Location Address:

2561 S SAINT PAUL ST
DENVER, CO
80210-6218

Practice Phone: 303-758-3282
Practice Fax:

1619753449 — MICHELLE HINTZ NP
Practice Location Address:

2555 S DOWNING ST STE 240
DENVER, CO
80210-5855

Practice Phone: 303-715-7030
Practice Fax: 303-715-7035

1891638045 — ELLEN ALLEMAN
Practice Location Address:

1777 S HARRISON ST STE 1200
DENVER, CO
80210-3955

Practice Phone: 719-787-7937
Practice Fax:

1154013548 — JOHN RICHARD TALLERDAY PMHNP-BC
Practice Location Address:

2525 S DOWNING ST
DENVER, CO
80210-5817

Practice Phone: 303-765-6969
Practice Fax: 303-778-5661

1619737756 — MARY A INCE LSW
Practice Location Address:

2390 S UNIVERSITY BLVD APT 101
DENVER, CO
80210-5401

Practice Phone: 303-339-2152
Practice Fax:

1164365938 — URBAN PEAK DENVER
Practice Location Address:

2485 S YORK ST
DENVER, CO
80210-5330

Practice Phone: 303-974-2961
Practice Fax:

Directions to “ LAWRENCE D BUB MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.