Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 58075 | CO |
N | 111NI0900X | Internist | 58075 | CO |
Y | 207RG0100X | Gastroenterologist | DR0058075 | CO |
NPI | 1023374386 |
---|---|
Provider Name | Carlene Lihalakha Chun |
First Address | Aurora, CO 80045-2570 |
Second Address | Parker, CO 80134-3753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 20/11/2020 |