Lantz Belizaire

NPI 1790163210 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1790163210
Gender Male
Enumeration Date 05/16/2015
Last Updated 05/16/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1108 NEWSOM ST
FORT COLLINS CO, 80524-3861, US
Phone (407) 446-9251
Fax
Business Location
1108 NEWSOM ST
FORT COLLINS CO, 80524-3861, US
Phone (407) 446-9251
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Colorado
License Number 0000599
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According to our database, Lantz Belizaire NPI is 1790163210, taxonomy code is 224Z00000X and license number is 0000599, license state is located at Colorado. Lantz Belizaire physically located at 1108 Newsom St, Fort Collins CO, 80524-3861. NPI Number Lantz Belizaire has the Individual type.

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1790163210 NPI number is provided on an as is basis without warranty of any kind. 1790163210 is maintained by the National Plan & Provider Enumeration System. The contents of Lantz Belizaire are for informational purposes only.