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Colorado Provider Network LLC — NPI 1114602596, Lakewood, CO | NPI Central

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NPI 1114602596

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Colorado Provider Network LLC

NPI 1114602596 · Adult Medicine Physician · Lakewood, CO

Provider details

NPI number: 1114602596
Entity type: Organization
Primary specialty: Adult Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: John Marquez, Owner(720) 241-3765

Specialties & taxonomies

Adult Medicine PhysicianPrimary207QA0505X
Allopathic & Osteopathic Physicians

Practice location

1435 Garrison St Ste 110

Lakewood, CO 80215-4748

Phone: (720) 241-3765

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

Po Box 12375

Denver, CO 80212-0375

Other names (DBA / former)

Doing business as: Achieve Health

Registry dates

Enumerated: 2023-06-21
Last updated: 2023-06-21
Certified: 2023-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.