| NPI | 1104043553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE LANZANO Managing Member 720-284-1581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 838488) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-10-10 |