1538336300 NPI number — DR. JENNIFER LEE LEWEY M.D.

Table of content: LOIS A SCHULTZ RN, BSN (NPI 1134292428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538336300 NPI number — DR. JENNIFER LEE LEWEY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEWEY
Provider First Name:
JENNIFER
Provider Middle Name:
LEE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HILL
Provider Other First Name:
JENNIFER
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538336300
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13001 E. 17TH PLACE
Provider Second Line Business Mailing Address:
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80045-2581
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-777-6738
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5920 MCINTYRE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOLDEN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80403-7445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-434-4876
Provider Business Practice Location Address Fax Number:
303-225-4246
Provider Enumeration Date:
05/12/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X , with the licence number:  DR.0034685 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 34685 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 79724353 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 029080 . This is a "KAISER COMMERCIAL NUMBER" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com