Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 27544 | CO |
NPI | 1235105628 |
---|---|
Provider Name | Dr. Naomi M Fieman |
First Address | Lakewood, CO 80401-3208 |
Second Address | Lakewood, CO 80401-3208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 21/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01275445 | (05) | CO |
BC28350 | BCBS (01) | CO |
E61322 | (02) | CO |