Organization
ROCKY MOUNTAIN ANAPLASTOLOGY INC
Active
Other names
Prosthetic Illusions Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LILLO (PRESIDENT)
(303) 973-8482
Entity
Organization
Contact information
Practice address
255 UNION BLVD STE 230, LAKEWOOD, CO 80228-1861
(303) 973-8482
(303) 973-8468
Mailing address
255 UNION BLVD STE 230, LAKEWOOD, CO 80228-1861
(303) 973-8482
(303) 973-8468
Taxonomy
Speciality
Code
Description
License number
State
229N00000X
Anaplastologist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08835233
—
CO
05
—
119976501
—
WY
05
—
38534363
—
CO
Enumeration date
02/01/2006
Last updated
10/25/2022
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