| NPI | 1730706607 |
|---|---|
| Doing Business As | LUTHERAN WEIGHT LOSS CLINIC |
| Entity Type | Organization |
| Authorized Contact | SEAN FADDEN VP Finance 303-425-2410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-12-22 |