# MY FAMILY DOCTOR PLLC

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

## Provider details

- **NPI number:** 1982928867
- **Authorized official:** DR. LILA SHOSHANA ROSENTHAL M.D. (PARTNER)
- **Authorized official phone:** (303) 928-0505

## Contact information

- **Practice address:** 1225 CIMARRON DR, UNIT 102, LAFAYETTE, CO 80026-3812
- **Practice address phone:** (303) 444-7150
- **Mailing address:** 1225 CIMARRON DRIVE, SUITE 102, LAFAYETTE, CO 80026
- **Mailing address phone:** (303) 444-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2010
- **Last updated:** 05/03/2016
