Vanacker Family Care Clinic

NPI #1326794496 in Canon City, Colorado

Provider Information

NPI Number: 1326794496
Entity Type: Organization
Organization Name: Vanacker Family Care Clinic
Primary Specialty: Point of Service
Enumeration Date: Feb 26, 2022
Last Updated: Feb 26, 2022

Practice Location

Address: 2205 FORGE RD
City: Canon City
State: Colorado
ZIP Code: 81212-4150
Phone: (719) 371-0069

Authorized Official

Name: LORI LYNN VANACKER, FNP
Title: OWNER
Phone: (719) 371-0069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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