Individual
LAWRENCE M PERTCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-2015
Mailing address
1873 S BELLAIRE ST, SUITE 420, DENVER, CO 80222-4358
(303) 753-1191
(303) 753-6636
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
18221
CO
2085N0700X
Neuroradiology Physician
18221
CO
2085N0904X
Nuclear Radiology Physician
18221
CO
2085P0229X
Pediatric Radiology Physician
18221
CO
2085R0202X
Diagnostic Radiology Physician
Primary
18221
CO
2085R0203X
Therapeutic Radiology Physician
18221
CO
2085R0204X
Vascular & Interventional Radiology Physician
18221
CO
2085R0205X
Radiological Physics Physician
18221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182211
—
CO
Enumeration date
12/01/2005
Last updated
04/05/2011
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