Lifestyle Medicine at Miramont, LLC
NPI #1043513724 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1043513724
- Entity Type
- Organization
- Organization Name
- Lifestyle Medicine at Miramont, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- URGENT CARE AT MIRAMONT, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 17, 2010
- Last Updated
- Mar 25, 2011
Practice Location
- Address
- 2211 S COLLEGE AVE
- Address 2
- UNIT 300
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-1489
- Phone
- (970) 237-6339
Authorized Official
- Name
- MS. LISA AUSTIN
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (970) 237-6339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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