Provider Demographics
NPI:1265688931
Name:GRACE, ELIZABETH SARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SARAH
Last Name:GRACE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7351 E LOWRY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6082
Mailing Address - Country:US
Mailing Address - Phone:303-777-3955
Mailing Address - Fax:
Practice Address - Street 1:7351 E LOWRY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6082
Practice Address - Country:US
Practice Address - Phone:303-577-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine