Active NPI
Alfred E Lyman Jr., PHARMD
- General Practice Physician
- Westminster, CO
National Provider Identifier
1083741052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15849
- Practice address
- 11245 Huron St
Westminster, CO 80234-2806 - Phone
- (303) 457-6601
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15849 | CO | Primary |
Addresses
Primary practice location
11245 Huron St
Westminster, CO 80234-2806
Mailing address
11245 Huron St
Westminster, CO 80234-2806
Phone (303) 457-6601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C012338 | Other | CO | KAISER-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15849 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1083741052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11245 HURON ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342806",
"telephone_number": "303-457-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11245 HURON ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342806",
"telephone_number": "303-457-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYMAN",
"first_name": "ALFRED",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "15849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "C012338",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.