Individual
DR. STEPHAN LANCE FORSTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 W MINERAL AVE STE 100, LITTLETON, CO 80120-5716
(303) 730-0404
(720) 647-4210
Mailing address
1501 W MINERAL AVE STE 100, LITTLETON, CO 80120-5716
(303) 730-0404
(720) 647-4210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20155
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01201557
—
CO
01
—
180014204
RAILROAD MEDICARE
—
01
—
920683020788
BLOCK VISION EYE SPECIALI
—
01
—
FOB4528
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/30/2005
Last updated
01/16/2024
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