Individual
DR. LYNNETTE C TELCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 SOUTH 4TH STREET, KREMMLING, CO 80459-0399
(970) 724-3442
(970) 724-9359
Mailing address
PO BOX 399, 214 S. 4TH ST, KREMMLING, CO 80459-0399
(970) 724-3442
(970) 724-9359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43652
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1428543
—
CO
Enumeration date
09/19/2005
Last updated
01/31/2020
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