NPI | 1558979534 |
---|---|
Doing Business As | LAKEVIEW FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RHONDA HECKARD Credentialing Coordinator 303-763-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-07-16 |
Last Update Date | 2022-08-03 |