| |
241 7th Street Frederick CO 80530-0647 | |
(720) 722-1073 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 241 7th Street, Frederick, Colorado |
Authorized Official Name and Position | Lauren Finnegan (OWNER) |
Authorized Official Contact | 7207221073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 647 Frederick CO 80530-0647 Ph: () - | 241 7th Street Frederick CO 80530-0647 Ph: (720) 722-1073 |
NPI Number | 1760118392 |
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Provider Enumeration Date | 07/26/2022 |
Last Update Date | 09/10/2024 |
Certification Date | 09/10/2024 |
Medicare PECOS PAC ID | 2062953367 |
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Medicare Enrollment ID | O20240925004266 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760118392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lauren R Finnegan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093464901 PECOS PAC ID: 3971044272 Enrollment ID: I20240925004368 |
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