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Lakeside Youth N Kids Pediatrics
Primary Care Clinic/Center in Wheat Ridge, Colorado
NPI 1275903833

Lakeside Youth N Kids Pediatrics is a Primary Care Clinic/Center based in Wheat Ridge, CO and is specialized in Primary Care. Lakeside Youth N Kids Pediatrics practices in Wheat Ridge, CO. The NPI Number for Lakeside Youth N Kids Pediatrics is 1275903833 and holds a License No. 50291 (Colorado).

The current practice location address for Lakeside Youth N Kids Pediatrics is 6055 W 46Th Ave, Wheat Ridge, CO and can be reached out via phone at 916-300-7534.

Location: 6055 W 46Th Ave, Wheat Ridge, CO, 80033-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275903833
Provider Name
Lakeside Youth N Kids Pediatrics
Credential
Provider Entity Type
Organization
Address
6055 W 46Th Ave, Wheat Ridge, CO, 80033-1811
Phone Number
916-300-7534
Fax Number
Provider Enumeration Date
09/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63008564 05 CO
institution
Provider Business Practice Location Address Details
Address
6055 W 46Th Ave
City
Wheat Ridge
State
Colorado
Zip
80033-1811
Phone Number
916-300-7534
Fax Number
person
Provider Business Mailing Address Details
Address
6055 W 46Th Ave
City
Wheat Ridge
State
Colorado
Zip
80033-1811
Phone Number
916-300-7534
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
50291 (Colorado)
Definition
Definition to come...
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