Organization
ARTISAN MD PLLC
Active
Organization
ARTISAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARYSSA DRAGAN MD (PRESIDENT/PHYSICIAN)
(415) 516-9861
Entity
Organization
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, SUITE 350, LOVELAND, CO 80538-9004
(415) 516-9861
Mailing address
1001 E HARMONY RD UNIT A, SUITE 425, FORT COLLINS, CO 80525-8888
(415) 516-9861
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27675530
—
CO
Enumeration date
11/28/2016
Last updated
11/28/2016
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