Lifespan Family Medical Services

NPI 1285703652 - Clinic/Center - 261QP2300X

NPI Details
NPI 1285703652
Enumeration Date 11/07/2006
Last Updated 01/22/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAMELA PAMELA
Position OWNER
Phone (970) 484-9533
Fax (970) 484-9544
Practice Location
320 W OLIVE ST
FORT COLLINS CO, 80521-2716, US
Phone (970) 484-9533
Fax (970) 484-9544
Business Location
320 W OLIVE ST
FORT COLLINS CO, 80521-2716, US
Phone (970) 484-9533
Fax (970) 484-9544
Toxanomy
Taxonomy Code 261QP2300X
License State Colorado
License Number 105668
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According to our database, Lifespan Family Medical Services NPI is 1285703652, taxonomy code is 261QP2300X and license number is 105668, license state is located at Colorado. Lifespan Family Medical Services physically located at 320 W Olive St, Fort Collins CO, 80521-2716. NPI Number 1033115704 has the healthcare provider type.

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1285703652 NPI number is provided on an as is basis without warranty of any kind. 1285703652 is maintained by the National Plan & Provider Enumeration System. The contents of Lifespan Family Medical Services are for informational purposes only.