Individual
LIDIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30999 COUNTY ROAD 15, LAS ANIMAS, CO 81054-9499
(719) 662-1127
Mailing address
30999 COUNTY ROAD 15, LAS ANIMAS, CO 81054-9499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0007023
CO
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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