HERON LAKE LLC

LOVELAND, CO
NPI1407012826
Other NameFOXTRAIL FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactSTEPHANIE DOUGHTY
CFO
970-237-7003
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2008-08-05
Last Update Date2014-01-14
Business Address
HERON LAKE LLC
1625 FOXTRAIL DR STE 190
LOVELAND, CO 80538-9088
Phone number: 970-619-6900
Mailing Address
HERON LAKE LLC
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-8702
Phone number: