Provider Demographics
NPI:1295958049
Name:METRO DOCTORS PC
Entity type:Organization
Organization Name:METRO DOCTORS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOLLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:LENT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-747-4858
Mailing Address - Street 1:2281 S PEORIA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1193
Mailing Address - Country:US
Mailing Address - Phone:720-747-4858
Mailing Address - Fax:
Practice Address - Street 1:2281 S PEORIA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1193
Practice Address - Country:US
Practice Address - Phone:720-747-4858
Practice Address - Fax:
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17835020Medicaid
COME670299OtherBCBS GROUP PIN
CO17835020Medicaid