Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Clinic of Pueblo, PC

Organization Pediatrics Physician · NPI 1962553172

Children's Clinic of Pueblo, PC is a Pediatrics Physician in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 N Grand Ave Ste 240
Pueblo, CO 81003-2700
Phone: (719) 295-2305
Fax: (719) 295-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 36942 (CO)

Record details

NPI number1962553172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loraine Carroll — Physician · (719) 295-2305
NPI enumeratedJanuary 15, 2007
Last updated in NPPESDecember 9, 2011
Mailing address1600 N Grand Ave, Suite 240, Pueblo, CO 81003-2700

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