Poudre Valley Medical Group, LLC
Internal Medicine, Pulmonary Disease in Lamar, CO. Organization (NPI-2).
NPI number1962298604
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1962298604
- Entity type
- Organization (NPI-2)
- Legal business name
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 18, 2025
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
Other names
- Uchealth Pulmonology Clinic - Lamar (Other Name)
- Uchealth Medical Group (Doing Business As)
Practice location
401 Kendall DrLamar, CO 81052-3942
Phone 719-336-4343 · Fax 719-336-7026
Mailing address
2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Authorized official
Jana Conroy
Director Of Credentialing
7193364343
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