| NPI | 1447753736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAWRENCE LAWTON Owner 970-759-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 39283) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |