National Provider Identifier Database

BOULDER GYNECOLOGY MINIMALLY INVASIVE SURGERY
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY
4800 RIVERBEND RD
SUITE 200
BOULDER, CO80301-2636
Phone: 720-382-2621
Fax: 720-382-2625
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY

NPI Number 1194071605
Legal business name
LBN
BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY
Authorized official LISA LEPINE - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/02/2012
Last updated 08/02/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 43874
  • CO Medicaid: 48574279
  • CO Other: 802492 MEDICARE ID - TYPE UNSPECIFIED

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.

Reviews for BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY

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