Individual
DR. ANDREW LEWIS SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P5129
TX
207RG0100X
Gastroenterology Physician
Primary
048988
CO
207RG0100X
Gastroenterology Physician
P5129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023816
KAISER COMMERCIAL NUMBER
CO
05
—
95257349
—
CO
Enumeration date
11/29/2007
Last updated
12/11/2025
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