Individual
STEVEN MITCHELL LANOSGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1834 N 12TH ST, GRAND JUNCTION, CO 81501-7612
(970) 243-3125
Mailing address
1834 N 12TH ST, GRAND JUNCTION, CO 81501-7612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA0019835
CO
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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