Organization
SOUTHERN COLORADO FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M STRANGE M.D (PROGRAM DIRECTOR)
(719) 557-5872
Entity
Organization
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Mailing address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3209
CO
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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