Organization
CASTLE PINES FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE S WILNER MD (MD/OWNER)
(303) 814-0505
Entity
Organization
Contact information
Practice address
7280 LAGAE RD, CASTLE PINES, CO 80108-9452
(303) 814-0505
Mailing address
7280 LAGAE RD, CASTLE PINES, CO 80108-9452
(303) 814-0505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32016
MEDICAL LIC
CO
Enumeration date
11/27/2011
Last updated
03/07/2023
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