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Individual

LINDSEY ELSA JOHANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2127 E HARMONY RD STE 140, FORT COLLINS, CO 80528-3406
(970) 297-6250
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0991695-NP
CO
363LF0000X
Family Nurse Practitioner
NP1271A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17539579
CO
Enumeration date
05/11/2013
Last updated
02/11/2019
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