Organization
SCL HEALTH FRONT RANGE INC
Active
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Other names
Lutheran Weight Loss Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Authorized official
SEAN FADDEN (VP FINANCE)
(303) 425-2410
Entity
Organization
Contact information
Practice address
3455 LUTHERAN PKWY STE 220, WHEAT RIDGE, CO 80033-6029
(303) 403-3030
(303) 403-6907
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
12/22/2020
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