| NPI | 1407953581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J LYNCH Owner 970-223-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 24854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 57743) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-24 |