Organization
NORTHSIDE FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M LEWAN M.D. (PRESIDENT)
(303) 905-2351
Entity
Organization
Contact information
Practice address
11487 AMES CT, WESTMINSTER, CO 80020-6836
(303) 905-2351
(303) 603-9420
Mailing address
11487 AMES CT, WESTMINSTER, CO 80020-6836
(303) 905-2351
(303) 603-9420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67286861
—
CO
Enumeration date
04/26/2006
Last updated
01/29/2014
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