Provider Demographics
NPI:1487889168
Name:LEFKOWITS, CAROLYN JOY CASEY (MD MPH)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:JOY CASEY
Last Name:LEFKOWITS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:CAROLYN
Other - Middle Name:JOY
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:303-724-2066
Practice Address - Fax:303-724-2053
Is Sole Proprietor?:No
Enumeration Date:2009-05-24
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107942207V00000X
CODR.0055468207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84289830Medicaid
CO84289830Medicaid