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Longevity Clinical Ltc Associates of Colorado Pllc

Geriatric Medicine (Family Medicine) Physician in Lakewood, CO · enumerated 2021 · authorized official Diane Vincur, Clinical Support Talent Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972269793

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Registry record

Entity type Organization (Type 2)
Legal business name Longevity Clinical Ltc Associates of Colorado Pllc
Practice address 12136 W Bayaud Ave, Lakewood, CO, 80228
Phone (303) 238-3838
Enumeration date Nov 16, 2021
Last updated in NPPES Nov 16, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Vincur
Title Clinical Support Talent Specialist
Phone (561) 815-2427

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Longevity Clinical Ltc Associates of Colorado Pllc?
Longevity Clinical Ltc Associates of Colorado Pllc is registered in NPPES as a Geriatric Medicine (Family Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-16.