Provider Demographics
NPI:1063543031
Name:LML HEALTH CARE PC
Entity type:Organization
Organization Name:LML HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, LML HEALTH CARE PC
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-851-8176
Mailing Address - Street 1:9218 KIMMER DR STE 203
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6733
Mailing Address - Country:US
Mailing Address - Phone:720-851-8176
Mailing Address - Fax:720-851-8230
Practice Address - Street 1:9218 KIMMER DR STE 203
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6733
Practice Address - Country:US
Practice Address - Phone:720-851-8176
Practice Address - Fax:720-851-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38525174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72702087Medicaid
CO72702087Medicaid
COC807641Medicare PIN