Individual
LAUREN WITTE MILTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E ELIZABETH ST, FORT COLLINS YOUTH CLINIC, FORT COLLINS, CO 80524-4007
(970) 267-9510
(970) 482-6938
Mailing address
1200 E ELIZABETH ST, FORT COLLINS YOUTH CLINIC, FORT COLLINS, CO 80524-4007
(970) 267-9510
(970) 482-6938
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2010017743
MO
208000000X
Pediatrics Physician
Primary
0052611
CO
Other
Enumeration date
07/01/2010
Last updated
02/21/2014
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