| NPI | 1912717653 |
|---|---|
| Doing Business As | UCHEALTH MEDICAL GROUP |
| Other Name | UCHEALTH PRIMARY CARE - LAKE STREET |
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-297-6700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-02-12 |