| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396190831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0039567 (Colorado) | Primary |
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