Provider Demographics
NPI:1568753739
Name:FRANCAVILLA BROWN, CAROLYNN STARR (MD)
Entity Type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:STARR
Last Name:FRANCAVILLA BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLYNN
Other - Middle Name:
Other - Last Name:FRANCAVILLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:200 UNION BLVD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1830
Mailing Address - Country:US
Mailing Address - Phone:303-566-7170
Mailing Address - Fax:
Practice Address - Street 1:200 UNION BLVD
Practice Address - Street 2:ST 311
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1830
Practice Address - Country:US
Practice Address - Phone:303-566-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51619207Q00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine