Individual
LAWRENCE T COULEHAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 E HARVARD AVE STE 455, DENVER, CO 80210-5079
(303) 722-2724
Mailing address
850 E HARVARD AVE STE 455, DENVER, CO 80210-5079
(303) 722-2724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181015
—
CO
Enumeration date
11/01/2006
Last updated
07/08/2007
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