Organization
LAKEWOOD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI PHONG BUI MD (CEO)
(303) 238-1488
Entity
Organization
Contact information
Practice address
2020 WADSWORTH BLVD, #17, LAKEWOOD, CO 80214-5728
(303) 238-1488
Mailing address
2020 WADSWORTH BLVD, #17, LAKEWOOD, CO 80214-5728
(303) 238-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33410
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01334101
—
CO
01
—
33410
STATE LISCENSE
CO
Enumeration date
03/02/2007
Last updated
08/22/2020
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