Individual
DR. LAWRENCE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10103 RIDGEGATE PKWY, STE 312, LONE TREE, CO 80124-5520
(303) 788-8888
(866) 456-4594
Mailing address
10103 RIDGE GATE PARKWAY, STE 312, LONE TREE, CO 80124
(303) 788-8888
(866) 456-4594
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36975
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01369750
—
CO
01
—
100012740
MEDICARE RAILROAD
CO
Enumeration date
08/17/2006
Last updated
10/31/2023
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