Organization
SOUTHEAST FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PASH-LOHR MD (MANAGING PARTNER)
(303) 706-0400
Entity
Organization
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 340, LONE TREE, CO 80124-5531
(303) 706-0400
Mailing address
3464 S WILLOW ST, SUITE 376, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28585046
—
CO
01
—
DF9202
RR MEDICARE
CO
01
—
SOM8308
BLUE SHIELD
CO
Enumeration date
07/16/2006
Last updated
03/12/2008
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