Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intermountain Medical Group Denver, LLC

Organization Neurology Physician · NPI 1114674363

Intermountain Medical Group Denver, LLC provides Neurology Physician services in Lafayette, Colorado. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Exempla Cir Ste 230
Lafayette, CO 80026-2906
Phone: (303) 673-1370
Fax: (720) 616-6995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1114674363
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
Other names Lafayette Clinic Neurology
NPI enumeratedMarch 8, 2022
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address500 Eldorado Blvd Ste 4300, Broomfield, CO 80021-3564

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