| Southeast Family Physicians | |
|
10099 Ridgegate Pkwy Suite 340 Lone Tree CO 80124-5531 | |
| (303) 706-0400 | |
| Not Available |
| Full Name | Southeast Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 10099 Ridgegate Pkwy, Lone Tree, Colorado |
| Authorized Official Name and Position | Susan Pash-lohr (MANAGING PARTNER) |
| Authorized Official Contact | 3037060400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Family Physicians 3464 S Willow St Suite 376 Denver CO 80231-4531 Ph: (303) 755-2900 | Southeast Family Physicians 10099 Ridgegate Pkwy Suite 340 Lone Tree CO 80124-5531 Ph: (303) 706-0400 |
| NPI Number | 1114944121 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 03/12/2008 |
| Medicare PECOS PAC ID | 7214929819 |
|---|---|
| Medicare Enrollment ID | O20040401001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114944121 | NPI | - | NPPES |
| SOM8308 | Other | CO | BLUE SHIELD |
| 28585046 | Medicaid | CO | |
| DF9202 | Other | CO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan L Pash Lohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609837186 PECOS PAC ID: 0840282448 Enrollment ID: I20050715000324 |
| Provider Name | Robert M Lohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336100817 PECOS PAC ID: 9931191533 Enrollment ID: I20050715000366 |
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