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Contact Information

FRONT RANGE CLINIC INC.
1410 VANCE ST STE 211
LAKEWOOD, CO80214-5435
 Phone: 720-597-5576
 Fax: 970-639-4475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Bariatric Medicine

207QB0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FRONT RANGE CLINIC INC · (Female)

NPI Number 1356860803
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2017
Last updated 02/02/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 1598135451
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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