NPI | 1427383348 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA A. LAWRENCE Nurse Practitioner 719-275-0136 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care (Licence: CO 88358) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO 88358) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2009-10-09 |