Organization · Type 2 NPI

Front Range Clinic Inc.

Addiction Medicine (Family Medicine) Physician · Lakewood, CO

NPI number 1356860803 Active

Practice location

1410 Vance St Ste 211
Lakewood, CO 80214-5435

Fax (970) 639-4475

Mailing address

1040 E Elizabeth St Ste C
Fort Collins, CO 80524-3952

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XNone listed
Obesity Medicine (Family Medicine) Physician 207QB0002XNone listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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About NPI 1356860803

Front Range Clinic Inc.'s National Provider Identifier is 1356860803, issued on Sep 15, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Lakewood, CO. The record was last updated on Feb 2, 2021.