True Life Medicine

LBN: Colorado Functional Medicine
True Life Medicine is an health care organization with primary practice located at 403 S Baldwin St , Woodland Park CO 80863-3154. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Colorado Functional Medicine can be contacted via phone (713) 686-7776, or through James, Randolph Lee via phone (719) 686-7776.

Contact Information

Primary practice address
403 S Baldwin St Woodland Park CO 80863-3154
Phone: (713) 686-7776
Fax: (719) 355-1926
Website:
Map and Directions
Authorized official contact:
Name: James, Randolph Lee Doctor of Medicine (MD)
Phone: (719) 686-7776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45978 Colorado

Profile Details

NPI number 1346569159
LBN Legal business name Colorado Functional Medicine
DBA Doing business as True Life Medicine
Authorized official James, Randolph Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2010
Last updated Jan 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346569159 NPPES
Colorado Other 1124011507 NPI
Colorado Other 71189513 NPI

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