Organization
ORIGIN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M. LUM LUNG (OWNER)
(888) 777-2718
Entity
Organization
Contact information
Practice address
1001A E HARMONY RD # 308, FORT COLLINS, CO 80525-3354
(888) 777-2718
Mailing address
1001A E HARMONY RD # 308, FORT COLLINS, CO 80525-3354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
06/29/2021
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