Provider Demographics
NPI:1285121913
Name:LUSE, DENNIS (CP)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:LUSE
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 E EXPOSITION AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5031
Mailing Address - Country:US
Mailing Address - Phone:303-722-0751
Mailing Address - Fax:303-722-4054
Practice Address - Street 1:3955 E. EXPOSITION AVE.
Practice Address - Street 2:SUITE #102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209
Practice Address - Country:US
Practice Address - Phone:303-722-0751
Practice Address - Fax:303-722-4054
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist