# LAKEWOOD INJURY TREATMENT CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083000996
- **Authorized official:** MONIQUE M WEERMAN (COO)
- **Authorized official phone:** (303) 330-0024

## Contact information

- **Practice address:** 605 PARFET ST, SUITE 104, LAKEWOOD, CO 80215-5576
- **Practice address phone:** (303) 330-0024
- **Practice address fax:** (303) 232-1798
- **Mailing address:** 2 W DRY CREEK CIR, SUITE 100, LITTLETON, CO 80120-8068
- **Mailing address phone:** (303) 734-7142
- **Mailing address fax:** (303) 734-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0027638 | CO | Yes |

## Other

- **Enumeration date:** 04/08/2015
- **Last updated:** 04/09/2015