Iannotti Lifestyle Clinic Pc | |
150 Old Laramie Trl E Suite 210 Lafayette CO 80026-7018 | |
(720) 773-1352 | |
(303) 604-6958 |
Full Name | Iannotti Lifestyle Clinic Pc |
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Speciality | Family Medicine |
Location | 150 Old Laramie Trl E, Lafayette, Colorado |
Authorized Official Name and Position | Michael Robert Iannotti (PHYSICIAN/ OWNER) |
Authorized Official Contact | 7207731352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iannotti Lifestyle Clinic Pc 150 Old Laramie Trl E Suite 210 Lafayette CO 80026-7018 Ph: (720) 773-1352 | Iannotti Lifestyle Clinic Pc 150 Old Laramie Trl E Suite 210 Lafayette CO 80026-7018 Ph: (720) 773-1352 |
NPI Number | 1396190831 |
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Provider Enumeration Date | 05/03/2016 |
Last Update Date | 07/26/2016 |
Identifier | Type | State | Issuer |
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1396190831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | DR.0039567 (Colorado) | Primary |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |