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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).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X |
| NPI # | 1629132121 |
| LBN Legal business name | FORT LYON CORRECTIONAL FACILITY |
| Authorized official | PAUL LASTRELLA - (PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/20/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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FORT LYON CORRECTIONAL FACILITY
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FORT LYON CORRECTIONAL FACILITY