Organization
ELEPHANT CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDRA LUSERO (EXECUTIVE DIRECTOR)
(303) 902-9402
Entity
Organization
Contact information
Practice address
3548 G RD, PALISADE, CO 81526-9788
(303) 902-9402
Mailing address
3548 G RD, PALISADE, CO 81526-9788
(303) 902-9402
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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