Basic Information
| Provider Information | |||||||||
| NPI: | 1053467662 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EUN | ||||||||
| FirstName: | LINDSAY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7950 KIPLING ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800053923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034246466 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7950 KIPLING ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800053923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034246466 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2007 | ||||||||
| LastUpdateDate: | 03/07/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 48904 | CO | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.