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Individual

DR. EDWIN LANCE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3555 LUTHERAN PKWY, STE 380, WHEAT RIDGE, CO 80033-6023
(303) 595-2700
(303) 595-2777
Mailing address
3555 LUTHERAN PKWY, STE 380, WHEAT RIDGE, CO 80033-6023
(303) 595-2700
(303) 595-2777

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
19193
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01191931
CO
01
84061667002
PACIFICARE
CO
01
WAR4828
BLUE CROSS
CO
Enumeration date
01/09/2006
Last updated
10/12/2012
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