Provider Demographics
NPI:1477188423
Name:COLORADO OCUPATIONAL MEDICAL PARTNERS, INC.
Entity Type:Organization
Organization Name:COLORADO OCUPATIONAL MEDICAL PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:R
Authorized Official - Last Name:LUGLIANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-214-0000
Mailing Address - Street 1:1390 S POTOMAC ST STE 136
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4529
Mailing Address - Country:US
Mailing Address - Phone:303-214-0000
Mailing Address - Fax:720-835-2246
Practice Address - Street 1:1390 S POTOMAC ST STE 136
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4529
Practice Address - Country:US
Practice Address - Phone:303-214-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty