Organization
WOODLAND PARK FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA LAY (OFFICE MANAGER)
(719) 686-2801
Entity
Organization
Contact information
Practice address
16222 W US HIGHWAY 24, SUITE 200, WOODLAND PARK, CO 80863-8762
(719) 686-2801
Mailing address
16222 W US HIGHWAY 24, SUITE 200, WOODLAND PARK, CO 80863-8762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0992468
CO
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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