Individual
ELIZABETH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 2ND ST, FORT LUPTON, CO 80621-1745
(720) 332-9445
Mailing address
10188 W OREGON PL, LAKEWOOD, CO 80232-6346
(720) 257-2808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA0006003
CO
363A00000X
Physician Assistant
Primary
PA0006003
CO
Other
Enumeration date
10/08/2019
Last updated
11/05/2019
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