Organization
THE CENTER FOR INTERNAL MEDICINEPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LUTZ MD (PRESIDENT)
(303) 454-2266
Entity
Organization
Contact information
Practice address
3955 E EXPOSITION AVE, SUITE 104, DENVER, CO 80209-5000
(303) 454-2266
Mailing address
3955 E EXPOSITION AVE STE 104, DENVER, CO 80209-5031
(303) 454-2266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1587677
CIGNA
CO
01
—
DG4224
RRMEDICARE
CO
Enumeration date
04/07/2006
Last updated
05/09/2008
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