Provider Demographics
NPI:1215262688
Name:WESTON, EUGENE LEMOINE (MD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:LEMOINE
Last Name:WESTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3286 ALKIRE WAY
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1658
Mailing Address - Country:US
Mailing Address - Phone:303-279-4111
Mailing Address - Fax:
Practice Address - Street 1:3286 ALKIRE WAY
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1658
Practice Address - Country:US
Practice Address - Phone:303-279-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17172208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery