| NPI | 1811580129 |
|---|---|
| Other Name | CENTURA HEALTH PHYSICIAN GROUP PRIMARY CARE LAFAYETTE |
| Doing Business As | PRLF PC LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-04-27 |