Individual
DIANE LYNN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 614-1493
Mailing address
13628 GARFIELD ST UNIT B, THORNTON, CO 80602-8820
(303) 955-1102
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
RN-163W00000X
CO
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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