Individual
DR. RICKLAND LAWRENCE LIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3676 PARKER BLVD, SUITE 390, PUEBLO, CO 81008-2212
(719) 595-7780
(719) 595-7789
Mailing address
3676 PARKER BLVD, SUITE 390, PUEBLO, CO 81008-2215
(719) 595-7780
(719) 595-7789
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
34.008104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11686324
—
CO
Enumeration date
11/09/2007
Last updated
09/06/2012
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