Heron Lake Llc

NPI 1407012826 - Clinic/Center - 261Q00000X

NPI Details
NPI 1407012826
Enumeration Date 08/05/2008
Last Updated 01/14/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position CFO
Phone (970) 619-6900
Fax (970) 619-6990
Practice Location
1625 FOXTRAIL DR
STE 190
LOVELAND CO, 80538-9088, US
Phone (970) 619-6900
Fax (970) 619-6990
Business Location
2695 ROCKY MOUNTAIN AVE
STE 150
LOVELAND CO, 80538-8702, US
Phone
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1407012826 NPI Number
 

According to our database, Heron Lake Llc NPI is 1407012826, taxonomy code is 261Q00000X Heron Lake Llc physically located at 1625 Foxtrail Dr, Loveland CO, 80538-9088. NPI Number 1033115704 has the healthcare provider type.

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1407012826 NPI number is provided on an as is basis without warranty of any kind. 1407012826 is maintained by the National Plan & Provider Enumeration System. The contents of Heron Lake Llc are for informational purposes only.