Individual
LANE RICHARD MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-0000
Mailing address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 323-0000
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
DR.0065578
CO
2086S0127X
Trauma Surgery Physician
Primary
DR.0065578
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
12/18/2024
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