Provider Demographics
NPI:1518109016
Name:DANIEL R LUMIAN, MD
Entity Type:Organization
Organization Name:DANIEL R LUMIAN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-355-7414
Mailing Address - Street 1:1750 RACE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1114
Mailing Address - Country:US
Mailing Address - Phone:303-355-7414
Mailing Address - Fax:303-355-6180
Practice Address - Street 1:1750 RACE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1114
Practice Address - Country:US
Practice Address - Phone:303-355-7414
Practice Address - Fax:303-355-6180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01232784Medicaid