Provider Demographics
NPI:1063650083
Name:LODHA, LYNDSEY B (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSEY
Middle Name:B
Last Name:LODHA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:BROOKE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA, MS, BSN, RN
Mailing Address - Street 1:4925 W 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-1505
Mailing Address - Country:US
Mailing Address - Phone:303-956-0574
Mailing Address - Fax:
Practice Address - Street 1:13952 DENVER WEST PKWY
Practice Address - Street 2:BLDG 53, SUITE 100
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-604-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007365 041.33243367500000X
CO0990963367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL210419003Medicare PIN