| NPI | 1912536194 |
|---|---|
| Other Name | NSO APP LAKEWOOD |
| Entity Type | Organization |
| Authorized Contact | JOHN ADAIR PRALL Owner/President 720-638-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |