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