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NPI 1679006597 · live from the CMS NPI Registry

Lindsey Broussard

Dermatology in Denver, CO. National Provider Identifier 1679006597, active.

NPI record

NPI1679006597 Type 1 · individual
StatusActive
Primary specialtyDermatology 207N00000X
Practice location3540 S Poplar St Ste 300, Denver, CO 80237
Practice phone303-850-9715
EnumeratedApril 7, 2017
Last updatedOctober 10, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000XDR.0070927 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.