# L J GOTTSCHALK, LLC

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

## Provider details

- **NPI number:** 1407466238
- **Authorized official:** MR. LIONEL JOHN GOTTSCHALK IV MD (PRESIDENT & CEO)
- **Authorized official phone:** (858) 401-3241

## Contact information

- **Practice address:** 4386 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
- **Practice address phone:** (858) 401-3241
- **Mailing address:** 757 INTERNATIONAL ISLE DR, CASTLE PINES, CO 80108-3482
- **Mailing address phone:** (858) 401-3241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 08/06/2020