# CONTINENCE CENTER OF NORTHERN COLORADO

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

## Provider details

- **NPI number:** 1962774877
- **Authorized official:** MRS. LISA W MYERS NP-C (OWNER/PROVIDER)
- **Authorized official phone:** (970) 430-0555

## Contact information

- **Practice address:** 1721 W HARMONY RD, SUITE 102, FORT COLLINS, CO 80526-7610
- **Practice address phone:** (970) 430-0555
- **Practice address fax:** (970) 674-7945
- **Mailing address:** 1721 W HARMONY ROAD, SUITE 102, FORT COLLINS, CO 80526-7611
- **Mailing address phone:** (970) 430-0555
- **Mailing address fax:** (970) 674-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 5583 | CO | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012