Individual
LIA A FIALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
(303) 296-8826
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11128880-1204
UT
207Q00000X
Family Medicine Physician
66304-21
WI
207Q00000X
Family Medicine Physician
Primary
DR0053715
CO
207V00000X
Obstetrics & Gynecology Physician
66304-21
WI
Other
Enumeration date
09/24/2012
Last updated
12/02/2020
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