# LIRIO S. POLINTAN MD PC

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

## Provider details

- **NPI number:** 1528364064
- **Authorized official:** LIRIO S POLINTAN M.D. (PRESIDENT)
- **Authorized official phone:** (719) 545-0552

## Contact information

- **Practice address:** 1600 N GRAND AVE STE 345, PUEBLO, CO 81003-2762
- **Practice address phone:** (171) 954-5055
- **Practice address fax:** (719) 545-2945
- **Mailing address:** 1600 N GRAND AVE STE 345, PUEBLO, CO 81003-2762
- **Mailing address phone:** (171) 954-5055
- **Mailing address fax:** (719) 545-2945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 24270 | CO | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/28/2011