Iannotti Lifestyle Clinic PC
Family Medicine in Lafayette, CO. Organization (NPI-2).
NPI number1396190831
StatusActive
Last updated in NPPESJul 26, 2016
Details
- NPI
- 1396190831
- Entity type
- Organization (NPI-2)
- Legal business name
- Iannotti Lifestyle Clinic PC
- Organization subpart
- No
- Enumeration date
- May 3, 2016
- Last updated
- Jul 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0039567 | CO | Yes |
Practice location
150 Old Laramie Trl ESuite 210
Lafayette, CO 80026-7018
Phone 720-773-1352 · Fax 303-604-6958
Mailing address
150 Old Laramie Trl ESuite 210
Lafayette, CO 80026-7018
Phone 720-773-1352 · Fax 303-604-6958
Authorized official
Michael Robert Iannotti
Physician/ Owner
7207731352
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