Organization
COMMONWEALTH DIALYSIS CENTER HOME HEMO,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT S. LAWSON (CEO)
(303) 785-7521
Entity
Organization
Contact information
Practice address
2100 CENTRAL AVE, SUITE 201, BOULDER, CO 80301-2838
(303) 785-7523
Mailing address
601 N 99TH ST, SUITE 110, WAUWATOSA, WI 53226-4339
(414) 755-6330
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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