LARA KATHLEEN WIGINTON-MCCORMICK

FORT COLLINS, CO
NPI1558512558
Other NameLARA KATHLEEN MCCORMICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CO  APN.0006038-CNM)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CO  990222)
163W00000X Registered Nurse
(Licence: CO  190225)
Enumeration Date2008-10-08
Last Update Date2016-03-22
Business Address
-- LARA KATHLEEN WIGINTON-MCCORMICK CNM
1025 PENNOCK PL
FORT COLLINS, CO 80524-3257
Phone number: 970-495-8800
Mailing Address
-- LARA KATHLEEN WIGINTON-MCCORMICK CNM
1025 PENNOCK PL
FORT COLLINS, CO 80524-3257
Phone number: 970-495-8800