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Individual

DR. LARA ABRAHAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1113 OAKRIDGE DR, FORT COLLINS, CO 80525-5591
(970) 225-0040
(970) 221-5206
Mailing address
3702 AUTOMATION WAY, SUITE 103, FORT COLLINS, CO 80525-5737
(970) 224-1670
(970) 495-6218

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41086
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26677211
CO
Enumeration date
12/15/2005
Last updated
09/19/2014
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