Provider Demographics
NPI:1184627549
Name:DAY, L. DORINE (MD)
Entity type:Individual
Prefix:
First Name:L.
Middle Name:DORINE
Last Name:DAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 LUTHERAN PKWY
Mailing Address - Street 2:SUITE 408
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6018
Mailing Address - Country:US
Mailing Address - Phone:303-467-4282
Mailing Address - Fax:303-467-4966
Practice Address - Street 1:3655 LUTHERAN PKWY
Practice Address - Street 2:SUITE 408
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-467-4282
Practice Address - Fax:303-467-4966
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23907207VM0101X
WI65934207VM0101X
IN01080844A207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01239078Medicaid
COD24348Medicare UPIN
COC805599Medicare PIN