Lansing, Mary Beth
Lansing, Mary Beth is an individual health care provider with primary practice located at 90 Health Park Dr Suite 100, Louisville CO 80027-9757. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Lansing, Mary Beth can be contacted via phone (303) 666-1800.Contact Information
Primary practice address
90 Health Park Dr Suite 100
Louisville CO 80027-9757
Phone: (303) 666-1800
Fax: (303) 666-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36103 | Colorado |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 36103 | Colorado |
Profile Details
| NPI number | 1528059573 |
|---|---|
| LBN Legal business name | Lansing, Mary Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Apr 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528059573 | NPPES |
| Colorado | Other | C51901 | MEDICARE ID |
| Colorado | MEDICAID | 01361039 | MEDICARE ID |
| Colorado | Other | C811156 | MEDICARE ID |
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