Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colorado Provider Network LLC

Organization Adult Medicine Physician · NPI 1649851155

Colorado Provider Network LLC is an Adult Medicine Physician in Lakewood, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1435 Garrison St Ste 110
Lakewood, CO 80215-4748
Phone: (720) 241-3765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1649851155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Marquez — Ceo · (720) 320-3218
NPI enumeratedApril 16, 2021
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing addressPo Box 12375, Denver, CO 80212-0375

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