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Scott Blunk Lac Llc
Medical Specialty Clinic/Center in Fort Collins, Colorado
NPI 1245492248

Scott Blunk Lac Llc is a Medical Specialty Clinic/Center based in Fort Collins, CO and is specialized in Medical Specialty. Scott Blunk Lac Llc practices in Fort Collins, CO. The NPI Number for Scott Blunk Lac Llc is 1245492248 and holds a License No. 568 (Colorado).

The current practice location address for Scott Blunk Lac Llc is 2601 S Lemay Ave, Fort Collins, CO and can be reached out via phone at 970-223-4422 and via fax at 970-223-9994.

Location: 2601 S Lemay Ave, Fort Collins, CO, 80525-2295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245492248
Provider Name
Scott Blunk Lac Llc
Credential
Provider Entity Type
Organization
Address
2601 S Lemay Ave, Fort Collins, CO, 80525-2295
Phone Number
970-223-4422
Fax Number
970-223-9994
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2601 S Lemay Ave
City
Fort Collins
State
Colorado
Zip
80525-2295
Phone Number
970-223-4422
Fax Number
970-223-9994
person
Provider Business Mailing Address Details
Address
2601 S Lemay Ave
City
Fort Collins
State
Colorado
Zip
80525-2295
Phone Number
970-223-4422
Fax Number
970-223-9994
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
568 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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