Origin Healthcare, Llc | |
1001a E Harmony Rd # 308 Fort Collins CO 80525-3354 | |
(888) 777-2718 | |
Not Available |
Full Name | Origin Healthcare, Llc |
---|---|
Speciality | Hospitalist |
Location | 1001a E Harmony Rd # 308, Fort Collins, Colorado |
Authorized Official Name and Position | Christine M. Lum Lung (OWNER) |
Authorized Official Contact | 8887772718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Origin Healthcare, Llc 1001a E Harmony Rd # 308 Fort Collins CO 80525-3354 Ph: () - | Origin Healthcare, Llc 1001a E Harmony Rd # 308 Fort Collins CO 80525-3354 Ph: (888) 777-2718 |
NPI Number | 1982206173 |
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Provider Enumeration Date | 11/12/2020 |
Last Update Date | 06/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982206173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
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