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Organization

LAURIE F NILES, DNP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID W NILES PHD (OFFICE MANAGER)
(970) 980-8685
Entity
Organization

Contact information

Practice address
5757 NORTHERN LIGHTS DR, FORT COLLINS, CO 80528-6911
(970) 980-8685
(970) 233-4560
Mailing address
5757 NORTHERN LIGHTS DR, FORT COLLINS, CO 80528-6911
(970) 980-8685
(970) 233-4560

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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