# FRONT RANGE ENT, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063659522
- **Authorized official:** MS. LORI L MALONE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (970) 584-1063

## Contact information

- **Practice address:** 6500 29TH STREET, SUITE 106, GREELEY, CO 80634-8386
- **Practice address phone:** (970) 330-5555
- **Mailing address:** 6500 29TH STREET, SUITE 106, GREELEY, CO 80634-8386
- **Mailing address phone:** (970) 330-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 41311 | CO | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 10/31/2011