Individual
GRACE LANTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12241 CRYSTAL DOWNS RD, PEYTON, CO 80831-4042
(720) 329-6429
(720) 329-6429
Mailing address
12241 CRYSTAL DOWNS RD, PEYTON, CO 80831
(720) 329-6429
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812697217
IRS
—
05
—
812697217
—
CO
Enumeration date
07/05/2016
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us