Individual
ADRIENNE LEBAILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6711
Mailing address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6711
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
28537
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01285378
—
CO
Enumeration date
10/11/2006
Last updated
07/21/2022
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