Provider Demographics
NPI:1073517843
Name:LOSEKAMP, JULIA CAROLINE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CAROLINE
Last Name:LOSEKAMP
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CRAIG
Other - Middle Name:ANTHONY
Other - Last Name:LOSEKAMP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1375 E 20TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5422
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38277207Q00000X
CODR.0072856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO029536OtherKAISER COMMERCIAL NUMBER
CO9000237717Medicaid
KY64069743Medicaid
KY000000299816OtherANTHEM
KY50006917OtherPASSPORT
KY0707011Medicare PIN