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Lutheran Hospital Association Of The San Luis Valley Valid NPI

Organization · Family Medicine Physician · Monte Vista, CO

NPI
1083012504
Type
Organization (Type 2)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
011001 (CO)
Enumerated
2014-12-16
Last updated
2023-05-26
Practice location
103 Chico Ct
Monte Vista, CO 81144-1065
(719) 852-9400

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