Organization
ROCKY MOUNTAIN ANAPLASTOLOGY INC
Active
Organization
ROCKY MOUNTAIN ANAPLASTOLOGY INC
Active
Other names
Prosthetic Illusions
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA Y LILLO (PRESIDENT)
(303) 973-8482
Entity
Organization
Contact information
Practice address
3405 S YARROW ST UNIT C, LAKEWOOD, CO 80227-4901
(303) 973-8482
(303) 973-8468
Mailing address
255 UNION BLVD STE 230, LAKEWOOD, CO 80228-1861
(303) 973-8482
(303) 973-8468
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
156FX1800X
Optician
—
—
224900000X
Mastectomy Fitter
—
—
229N00000X
Anaplastologist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08835233
—
CO
Enumeration date
06/07/2017
Last updated
02/06/2024
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