| Be Well Primary Care LLC | |
|
19600 E Parker Square Dr Ste 120 Parker CO 80134-7322 | |
| (720) 770-0966 | |
| Not Available |
| Full Name | Be Well Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 19600 E Parker Square Dr Ste 120, Parker, Colorado |
| Authorized Official Name and Position | Holly Lukenbill (OWNER) |
| Authorized Official Contact | 3035062835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Primary Care LLC 6041 King Ct Parker CO 80134-7528 | Be Well Primary Care LLC 19600 E Parker Square Dr Ste 120 Parker CO 80134-7322 Ph: (720) 770-0966 |
| NPI Number | 1144014556 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Medicare PECOS PAC ID | 4082109848 |
|---|---|
| Medicare Enrollment ID | O20251218003163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144014556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Holly Lukenbill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053139386 PECOS PAC ID: 6103350012 Enrollment ID: I20241114004109 |
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