LAFAYETTE PEDIATRICS AND INTERNAL MEDICINE NPI 1700184322

NPI Information

NPI: 1700184322
Provider Name: LAFAYETTE PEDIATRICS AND INTERNAL MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D2048899

Address:
300 EXEMPLA CIR
SUITE 420
LAFAYETTE, CO
ZIP 80026
Phone: (720) 565-6101
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LAFAYETTE PEDIATRICS AND INTERNAL MEDICINE is a primary care clinic center in Lafayette, CO. LAFAYETTE PEDIATRICS AND INTERNAL MEDICINE NPI is 1700184322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 EXEMPLA CIR
SUITE 420
LAFAYETTE, CO
ZIP 80026-397
Phone: (720) 565-6101
Fax: (720) 545-0106

The provider's authorized official is Adam Palazzari .
The authorized official title is Owner and has the following contact phone number (720) 204-0960.

The CLIA number assigned to this NPI record is 06D2048899 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2011 and was last updated on 3/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			No
2	1041C0700X	Social Worker	Clinical			No
3	207Q00000X	Family Medicine				No
4	207R00000X	Internal Medicine				No
5	208000000X	Pediatrics				No
6	261QP2300X	Clinic/Center	Primary Care	44475	COLORADO	Yes
7	363LF0000X	Nurse Practitioner	Family			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00671754	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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