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Organization

LIFETIME HEALTHCARE & MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDY BRUCE SNYDER D.C. (PRESIDENT)
(303) 423-4610
Entity
Organization

Contact information

Practice address
8155 W 94TH AVE, BROOMFIELD, CO 80021-4515
(303) 423-4610
(303) 431-8658
Mailing address
8155 W 94TH AVE, BROOMFIELD, CO 80021-4515
(303) 423-4610
(303) 431-8658

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
111NS0005X
Sports Physician Chiropractor
Primary
164W00000X
Licensed Practical Nurse
171100000X
Acupuncturist
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
208100000X
Physical Medicine & Rehabilitation Physician
2083S0010X
Sports Medicine (Preventive Medicine) Physician
2251S0007X
Sports Physical Therapist
225200000X
Physical Therapy Assistant
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
04/13/2022
Last updated
05/12/2022
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