Organization
MOUNTIAN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANDRA LYNCH MD (DIRECTOR/OFFICER)
(970) 349-1046
Entity
Organization
Contact information
Practice address
405 ELK AVENUE, CRESTED BUTTE, CO 81423
(970) 349-1046
(970) 349-1051
Mailing address
PO BOX 122, CRESTED BUTTE, CO 81224-0122
(970) 349-1046
(970) 349-1051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
512338
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02574241
—
CO
Enumeration date
06/01/2005
Last updated
08/22/2020
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