Individual
MS. LANA MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 15TH ST, GREELEY, CO 80631-4500
(970) 378-4170
(970) 378-4171
Mailing address
1800 15TH ST, GREELEY, CO 80631-4500
(970) 378-4170
(970) 378-4171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
63054
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2554046
—
CO
Enumeration date
01/31/2006
Last updated
10/14/2008
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