| Allinfamilymed | |
|
7610 N Union Blvd Ste 140 Colorado Springs CO 80920-3894 | |
| (719) 550-1172 | |
| (719) 591-2864 |
| Full Name | Allinfamilymed |
|---|---|
| Speciality | Clinic/Center |
| Location | 7610 N Union Blvd Ste 140, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lisa Lallier Blackwelder (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9036412481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allinfamilymed 7610 N Union Blvd Ste 140 Colorado Springs CO 80920-3894 Ph: (719) 550-1172 | Allinfamilymed 7610 N Union Blvd Ste 140 Colorado Springs CO 80920-3894 Ph: (719) 550-1172 |
| NPI Number | 1275142390 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 3375960503 |
|---|---|
| Medicare Enrollment ID | O20200902000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275142390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Lisa L Blackwelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396990164 PECOS PAC ID: 3375729122 Enrollment ID: I20160831001013 |
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