Individual
CELIA A IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 LEE AVE, LAMAR, CO 81052-3711
(719) 336-1170
Mailing address
803 W OAK ST, LAMAR, CO 81052-3043
(719) 336-1170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1001394-NP
CO
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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