Provider Demographics
NPI:1760605554
Name:COLORADO ORTHOPEDIC GROUP, PROF. LLC
Entity Type:Organization
Organization Name:COLORADO ORTHOPEDIC GROUP, PROF. LLC
Other - Org Name:TIMOTHY J LEHMAN MD. LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-650-4094
Mailing Address - Street 1:PO BOX 270716
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-0012
Mailing Address - Country:US
Mailing Address - Phone:303-650-4094
Mailing Address - Fax:303-730-0386
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 530
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:303-650-4064
Practice Address - Fax:303-730-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37449174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO499158Medicare ID - Type UnspecifiedGROUP #