Provider Demographics
NPI:1477013167
Name:ROSENBERG, LYNNE MICHELLE
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:MICHELLE
Last Name:ROSENBERG
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:PORTERCARE ADVENTIST HEALTH SYSTEM
Mailing Address - Street 2:9395 CROWN CREST BLVD
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8573
Mailing Address - Country:US
Mailing Address - Phone:303-269-4000
Mailing Address - Fax:
Practice Address - Street 1:ADVENTHEALTH MEDICAL GROUP HOSPITALISTS AT PARKER
Practice Address - Street 2:9395 CROWN CREST BLVD
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8573
Practice Address - Country:US
Practice Address - Phone:303-269-4000
Practice Address - Fax:303-269-4070
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0070690207PT0002X, 207R00000X, 207PT0002X
CODR.70690208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics