Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2014-08-13
- Last updated
- 2014-08-13
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 802 RIO GRANDE AVE
- City
- CREEDE CO
- Postal code
- 81130
- Phone
- 719-658-0322
Organization contact
- Name
- SCOTT LAMB
- Title
- County Commissioner
- Phone
- 7196582331
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.