Provider Demographics
NPI:1801367743
Name:O'ROURKE, LYNDSEY ANN
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:ANN
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14361 W YALE PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5442
Mailing Address - Country:US
Mailing Address - Phone:303-517-6700
Mailing Address - Fax:
Practice Address - Street 1:14361 W YALE PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-5442
Practice Address - Country:US
Practice Address - Phone:303-517-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant