Provider Demographics
NPI:1568880698
Name:AMERIN, COURTNEY LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:LEE
Last Name:AMERIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9195 GRANT ST STE 410
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4388
Mailing Address - Country:US
Mailing Address - Phone:303-280-2229
Mailing Address - Fax:
Practice Address - Street 1:9195 GRANT ST STE 410
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4388
Practice Address - Country:US
Practice Address - Phone:303-280-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-05
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0059984207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program