Individual
LINDSAY VON BERNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1200 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 416-6286
(970) 482-2635
Mailing address
1200 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 416-6286
(970) 482-2635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1602
CO
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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