| Nortib LLC | |
|
393 S Harlan St Ste 100 Lakewood CO 80226-3569 | |
| (303) 339-0868 | |
| (720) 630-8666 |
| Full Name | Nortib LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 393 S Harlan St Ste 100, Lakewood, Colorado |
| Authorized Official Name and Position | Kang Ho (OWNER) |
| Authorized Official Contact | 3033390868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nortib LLC 363 S Harlan St Ste 105 Lakewood CO 80226-3552 Ph: (303) 339-0868 | Nortib LLC 393 S Harlan St Ste 100 Lakewood CO 80226-3569 Ph: (303) 339-0868 |
| NPI Number | 1861241267 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 01/15/2026 |
| Certification Date | 01/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861241267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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