Individual
LANCE REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2698 PATTERSON RD, GRAND JUNCTION, CO 81506-8818
(970) 298-2800
(970) 298-6291
Mailing address
PO BOX 62, GRAND JUNCTION, CO 81502-0062
(970) 298-2894
(970) 298-1809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36457
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01364579
—
CO
Enumeration date
12/23/2005
Last updated
01/20/2014
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