Individual
ADELINA LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W SOUTH BOULDER RD, SUITE 110, LAFAYETTE, CO 80026-2752
(303) 666-7555
(303) 666-9168
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24231070
—
CO
Enumeration date
11/14/2005
Last updated
01/21/2013
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