MS. Kelly Jo Fabrizius, SAC

NPI #1275708844 in Lafayette, Colorado

Provider Information

NPI Number: 1275708844
Entity Type: Individual
Name: MS. Kelly Jo Fabrizius, SAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: SAC
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 200 EXEMPLA CIR
City: Lafayette
State: Colorado
ZIP Code: 80026-3370
Phone: (970) 674-9766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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