Organization
LILVIA SURGICAL ASSISTING, LLC.
Active
Other names
LILVIA Surgical Assisting, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DANIEL TIMMERMEYER (SURGICAL ASSISTANT)
(719) 321-2622
Entity
Organization
Contact information
Practice address
324 FOSSIL DR, JOHNSTOWN, CO 80534-7452
(719) 321-2622
Mailing address
324 FOSSIL DR, JOHNSTOWN, CO 80534-7452
(719) 321-2622
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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