Provider Demographics
NPI:1447695655
Name:FOREMAN, LILY ANN (DO, PHD)
Entity type:Individual
Prefix:DR
First Name:LILY
Middle Name:ANN
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:DO, PHD
Other - Prefix:
Other - First Name:LILY
Other - Middle Name:ANN
Other - Last Name:TRUNCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, PHD
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2045 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:303-344-7715
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17953207L00000X
CODR.0060347207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO028902OtherKAISER COMMERCIAL NUMBER