Individual
MR. LIONEL JOHN GOTTSCHALK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4386 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(719) 209-8630
(719) 473-3553
Mailing address
4386 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(719) 209-8630
(719) 473-3553
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR. 0055408
CO
Other
Enumeration date
04/28/2009
Last updated
11/24/2020
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