Organization
ROCKY MOUNTAIN FAMILY PRACTICE OF LEADVILLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA P. ZWERDLINGER M.D. (OWNER)
(719) 486-0500
Entity
Organization
Contact information
Practice address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3978
(719) 486-0500
(719) 486-3966
Mailing address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3978
(719) 486-0500
(719) 486-3966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55808255
—
CO
01
—
DD5084
MEDICARE RAILROAD
—
Enumeration date
06/03/2006
Last updated
01/18/2011
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