Boulder Gynecology & Minimally Invasive Surgery PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

43874 Issued in CO

Legal business name

BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY PC

Practice address

4800 Riverbend Rd Ste 200
Boulder, CO 80301-2608

Phone

(720) 382-2621

Fax

(720) 382-2625

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Lisa Lepine, MD

Title

Owner

Phone

(720) 382-2621

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1043484082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 RIVERBEND RD STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012608",
            "telephone_number": "720-382-2621",
            "fax_number": "720-382-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 RIVERBEND RD STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012608",
            "telephone_number": "720-382-2621",
            "fax_number": "720-382-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LEPINE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-382-2621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "43874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.