La Luna Center, Llc

NPI 1215054218 - Psychologist - 103TP2701X

NPI Details
NPI 1215054218
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM WILLIAM
Position BUSINESS MANAGER
Phone (720) 470-0010
Fax (303) 200-7098
Practice Location
3002 BLUFF ST
SUITE 200
BOULDER CO, 80301-2162, US
Phone (720) 470-0010
Fax (303) 200-7098
Business Location
3002 BLUFF ST
SUITE 200
BOULDER CO, 80301-2162, US
Phone (720) 470-0010
Fax (303) 200-7098
Toxanomy
Taxonomy Code 103TP2701X
License State
License Number
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According to our database, La Luna Center, Llc NPI is 1215054218, taxonomy code is 103TP2701X La Luna Center, Llc physically located at 3002 Bluff St, Boulder CO, 80301-2162. NPI Number 1033115704 has the healthcare provider type.

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1215054218 NPI number is provided on an as is basis without warranty of any kind. 1215054218 is maintained by the National Plan & Provider Enumeration System. The contents of La Luna Center, Llc are for informational purposes only.