Organization
SPINE CENTER OF COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT STEVEN LANZEN D.C. (CHIROPRACTOR)
(303) 678-9045
Entity
Organization
Contact information
Practice address
1248 N MAIN ST, LONGMONT, CO 80501-3824
(303) 678-9045
(303) 678-9046
Mailing address
1248 N MAIN ST, LONGMONT, CO 80501-3824
(303) 678-9045
(303) 678-9046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5270
CO
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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