La Plata Family Medicine Assoc PC
La Plata Family Medicine Assoc PC is a Family Medicine Physician in Durango, Colorado. Licensed in Colorado. Registered with an NPI since 2005.
- Licensed in
- CO
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
316 Sawyer DrDurango, CO 81303
Phone: (970) 259-3110
Fax: (970) 259-6605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (CO) |
|---|
Record details
| NPI number | 1609868116 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ashley Beaver — Credentialing Specialist · (406) 927-2988 |
| NPI enumerated | August 19, 2005 |
| Last updated in NPPES | July 12, 2023 |
| Certification date | July 12, 2023 |
| Mailing address | 316 Sawyer Dr, Durango, CO 81303-6560 |
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Mr. Kevin David Livingston, DO
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Martin Bradley Lyons, MD
316 Sawyer Dr, Durango, CO 81303-6560 · (970) 259-3110
-
Cynthia A Manninen, DO
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