Individual
DR. TYLER M LEWARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S POTOMAC ST, SUITE 240, AURORA, CO 80012-4528
(303) 750-8600
(303) 743-7800
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 750-8600
(303) 743-7800
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36897
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08580821
—
CO
05
—
1073620993
—
WY
05
—
12105864
—
CO
Enumeration date
08/24/2006
Last updated
12/05/2023
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