Loma Vista General and Family Practice

NPI #1407219579 in La Junta, Colorado

Provider Information

NPI Number
1407219579
Entity Type
Organization
Organization Name
Loma Vista General and Family Practice
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 5, 2016
Last Updated
Apr 5, 2016

Practice Location

Address
2201 SAN JUAN AVE
ZIP Code
81050-3323
Phone
(719) 384-8181

Authorized Official

Name
DR. MARION LEE SCHMUCKER, M.D.
Title
OWNER
Phone
(719) 384-8181

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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