Lilly Beauty Colorado

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LILLY BEAUTY COLORADO

Practice address

125 Inverness Dr E
Englewood, CO 80112-5137

Phone

(720) 960-7077

NPI assigned

May 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aviv Alkoby

Title

Owner

Phone

(720) 324-3389

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1023701000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125137",
            "telephone_number": "720-960-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY BEAUTY COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "ALKOBY",
        "authorized_official_first_name": "AVIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-324-3389"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Mental Health LLC
• Terri Eilene Light, RN
• Lighthouse Assisted Living, Inc.
• Anna Likhacheva
• Lillian Klancar, M.D., P.C.
• Gail Lily
• Suzy Ann Lim, M.D.
• Thomas W Lim, MD
• Johanna Lima
• Linc MD, PLLC

• Medical Specialty Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.