Iannotti Lifestyle Clinic PC

NPI #1396190831 in Lafayette, Colorado

Provider Information

NPI Number
1396190831
Entity Type
Organization
Organization Name
Iannotti Lifestyle Clinic PC
Primary Specialty
Family Medicine
Enumeration Date
May 3, 2016
Last Updated
Jul 26, 2016

Practice Location

Address
150 OLD LARAMIE TRL E
Address 2
SUITE 210
ZIP Code
80026-7018
Phone
(720) 773-1352

Authorized Official

Name
MICHAEL ROBERT IANNOTTI, MD
Title
PHYSICIAN/ OWNER
Phone
(720) 773-1352

Specialties & Taxonomy Codes

Specialty
Family Medicine

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