Individual
DR. ANANYA GUHA LUSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1335 PHAY AVE, SUITE A, CANON CITY, CO 81212-2334
(719) 285-2091
(719) 285-2092
Mailing address
1335 PHAY AVE, SUITE A, CANON CITY, CO 81212-2334
(719) 285-2091
(719) 285-2092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0054382
CO
208000000X
Pediatrics Physician
RS20070322
NM
Other
Enumeration date
06/29/2007
Last updated
12/30/2014
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