Individual
LAWRENCE J. WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 LEMAY AVE, FORT COLLINS, CO 80524-3929
(800) 553-4924
Mailing address
DEPT 2215, DENVER, CO 80291-0001
(800) 671-8942
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22343
CO
207P00000X
Emergency Medicine Physician
Primary
22343
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223437
—
CO
05
—
101793400
—
WY
01
—
930025966
RAILROAD MEDICARE
CO
Enumeration date
07/07/2006
Last updated
03/21/2011
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