Provider Demographics
NPI:1881929545
Name:HARDESTY, ROBERT LYNCH (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LYNCH
Last Name:HARDESTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9017 RANCH RIVER CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5079
Mailing Address - Country:US
Mailing Address - Phone:303-955-5021
Mailing Address - Fax:
Practice Address - Street 1:9017 RANCH RIVER CIR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5079
Practice Address - Country:US
Practice Address - Phone:303-955-5021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009773E208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)