| Centura Health Physician Group Primary Care Lafayette | |
|
511 Crossing Dr Ste 202 Lafayette CO 80026-2629 | |
| (303) 269-2875 | |
| (303) 269-2876 |
| Full Name | Centura Health Physician Group Primary Care Lafayette |
|---|---|
| Speciality | Family Medicine |
| Location | 511 Crossing Dr Ste 202, Lafayette, Colorado |
| Authorized Official Name and Position | Angela J Skinner (ADMINISTRATOR, OMA) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Health Physician Group Primary Care Lafayette Po Box 801106 Kansas City MO 64180-1106 Ph: (800) 953-0104 | Centura Health Physician Group Primary Care Lafayette 511 Crossing Dr Ste 202 Lafayette CO 80026-2629 Ph: (303) 269-2875 |
| NPI Number | 1811580129 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811580129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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