National Provider Identifier Database

FORT LYON CORRECTIONAL FACILITY
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

FORT LYON CORRECTIONAL FACILITY
30999 COUNTY RD 15
FORT LYON, CO81038
Phone: 719-456-3222
Fax:
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for FORT LYON CORRECTIONAL FACILITY

NPI Number 1629132121
Legal business name
LBN
FORT LYON CORRECTIONAL FACILITY
Authorized official PAUL LASTRELLA - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 12/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for FORT LYON CORRECTIONAL FACILITY

There are currently no reviews for FORT LYON CORRECTIONAL FACILITY


NPIdb - Home
v2.201