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LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC NPI 1972269793


NPI Information

NPI: 1972269793
Provider Name: LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
12136 W BAYAUD AVE
LAKEWOOD, CO
ZIP 80228
Phone: (303) 238-3838
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LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC is a geriatric medicine family medicine in Lakewood, CO. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC NPI is 1972269793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12136 W BAYAUD AVE
LAKEWOOD, CO
ZIP 80228-115
Phone: (303) 238-3838

The provider's authorized official is Diane Vincur .
The authorized official title is Clinical Support Talent Specialist and has the following contact phone number (561) 815-2427.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyNo
2363LP2300XNurse PractitionerPrimary CareNo
3207Q00000XFamily MedicineNo
4207QG0300XFamily MedicineGeriatric MedicineYes

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: 4/28/2024

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