| Organization Name: | JEANNIE M. OROURKE, DPM PC |
| NPI Number: | 1124223292 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT ANTON LYTIKAINEN (PRACTICE MANAGER) |
| Mailing Address: | 755 S Perry St Suite 500 Castle Rock |
| State: | CO US |
| Postal Code: | 801041901 |
| Phone Number: | 3038141082 |
| Fax Number: | 3038140020 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 02/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | CO 481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |