Organization
CENTRAL COLORADO PROSTHETICS AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA KNUDSON MSPO, CPO (OWNER)
(303) 396-9557
Entity
Organization
Contact information
Practice address
28350 COUNTY ROAD 317 UNIT 8, BUENA VISTA, CO 81211-9261
(303) 396-9557
Mailing address
918 BELLOWS RD, HARTSEL, CO 80449-8553
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
20186000250
CO
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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