Individual
MARK R LAUDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2525 S DOWNING ST, DENVER, CO 80210-5817
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2356
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578602496
—
WY
05
—
200425750A
—
KS
05
—
73656038
—
CO
05
—
87528771
—
NM
Enumeration date
02/06/2007
Last updated
03/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us