| Lirio S. Polintan Md Pc | |
|
1600 N Grand Ave Ste 345 Pueblo CO 81003-2762 | |
| (171) 954-5055 | |
| (719) 545-2945 |
| Full Name | Lirio S. Polintan Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1600 N Grand Ave Ste 345, Pueblo, Colorado |
| Authorized Official Name and Position | Lirio S Polintan (PRESIDENT) |
| Authorized Official Contact | 7195450552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lirio S. Polintan Md Pc 1600 N Grand Ave Ste 345 Pueblo CO 81003-2762 Ph: (171) 954-5055 | Lirio S. Polintan Md Pc 1600 N Grand Ave Ste 345 Pueblo CO 81003-2762 Ph: (171) 954-5055 |
| NPI Number | 1528364064 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528364064 | NPI | - | NPPES |
| 01242700 | Medicaid | CO | |
| COA103943 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 24270 (Colorado) | Primary |
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