Organization · Type 2 NPI

Heron Lake LLC

Clinic/Center · Loveland, CO

NPI number 1407012826 Active

Practice location

1625 Foxtrail Dr, Ste 190
Loveland, CO 80538-9088

Fax (970) 619-6990

Mailing address

2695 Rocky Mountain Ave, Ste 150
Loveland, CO 80538-8702

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

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).

6 other providers at this address

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About NPI 1407012826

Heron Lake LLC's National Provider Identifier is 1407012826, issued on Aug 5, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Loveland, CO. The record was last updated on Jan 14, 2014.