Organization · Type 2 NPI

Scott Blunk Lac LLC

Medical Specialty Clinic/Center · Fort Collins, CO

NPI number 1245492248 Active

Practice location

2601 S Lemay Ave, Suite 25
Fort Collins, CO 80525-2295

Call (970) 223-4422 Map

Fax (970) 223-9994

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X568 (CO)

Medical Specialty Clinic/Center: 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).

24 other providers at this address

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About NPI 1245492248

Scott Blunk Lac LLC's National Provider Identifier is 1245492248, issued on Jun 30, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Collins, CO. The record was last updated on Jun 30, 2008.