| Organization Name: | LAKEWOOD FAMILY MEDICINE LLC |
| NPI Number: | 1386854354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE ARNETT (PRACTICE ADMINSTRATOR) |
| Mailing Address: | 1555 S Wadsworth Blvd Lakewood |
| State: | CO US |
| Postal Code: | 802326832 |
| Phone Number: | 3039851597 |
| Fax Number: | 3039852108 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |