Lutheran Hospital Association of the San Luis Valley

NPI #1063690600 in La Jara, Colorado

Provider Information

NPI Number: 1063690600
Entity Type: Organization
Organization Name: Lutheran Hospital Association of the San Luis Valley
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 19021 HIGHWAY 285
City: La Jara
State: Colorado
ZIP Code: 81140
Phone: (719) 274-6000

Authorized Official

Name: RUSSELL W. JOHNSON, C.E.O.
Title: CHIEF EXECUTIVE OFFICER
Phone: (719) 589-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Surgery	208600000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Orthopaedic Surgery	207X00000X	Primary

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