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Tasia Lauren Gortmaker

Case Manager/Care Coordinator in Lafayette, CO. Individual provider (NPI-1).

NPI number1962094243
StatusActive
Last updated in NPPESFeb 8, 2021

Details

NPI
1962094243
Entity type
Individual (NPI-1)
Name
Mrs. Tasia Lauren Gortmaker
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2021
Certification date
Feb 8, 2021
Last updated
Feb 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Phone 303-443-8500

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879

Phone 303-443-8500

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