Organization
VANACKER FAMILY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LYNN VANACKER FNP (OWNER)
(719) 371-0069
Entity
Organization
Contact information
Practice address
2205 FORGE RD, CANON CITY, CO 81212-4150
(719) 371-0069
(719) 285-8339
Mailing address
2205 FORGE RD, CANON CITY, CO 81212-4150
(719) 371-0069
(719) 285-8339
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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