Individual
LANCE R. FARNWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
(719) 253-7102
(719) 253-7114
Mailing address
1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
(719) 253-7102
(719) 253-7114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
CO39490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74079239
—
CO
Enumeration date
01/24/2006
Last updated
05/16/2014
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