Organization
MAINSTREET PEDIATRICS
Active
Organization
MAINSTREET PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRI M. PHIPPS DNP (OWNER)
(720) 458-6543
Entity
Organization
Contact information
Practice address
9235 CROWN CREST BLVD, SUITE 100, PARKER, CO 80138-8880
(720) 458-6543
(720) 458-6544
Mailing address
9235 CROWN CREST BLVD, SUITE 100, PARKER, CO 80138-8880
(720) 458-6543
(720) 458-6544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
APN.0010267-NP
CO
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
Update your record
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