Individual
LAUREN ANN GIANDOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
(970) 495-7611
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA.0005395
CO
363A00000X
Physician Assistant
Primary
PA179312
OR
Other
Enumeration date
05/02/2016
Last updated
08/14/2023
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