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Contact Information

DALE G. LERVICK, O.D., P.C.
7586 W JEWELL AVE
STE 104
LAKEWOOD, CO80232-6890
 Phone: 303-233-7575
 Fax: 303-233-4740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DALE G LERVICK OD PC · (Female)

NPI # 1306019047
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2008
Last updated 04/26/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 9977799
  • CO Medicaid 08007775
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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