Lynnette Groeger in Colorado Springs - Physician Assistant

Lynnette Groeger - NPI 1154308245

Lynnette Groeger is a Physician Assistant in Colorado Springs, Colorado. Lynnette Groeger practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lynnette Groeger is 1154308245. The last update date is 2007-07-08.

Lynnette Groeger's current location address is 2840 International Cir, Colorado Springs, Colorado. You can contact this provider via phone number 7196406440 and fax number 7192286609. The mailing address for Lynnette Groeger is 2840 International Cir, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynnette Groeger
Address 2840 International Cir, Colorado Springs, Colorado
Phone Number 7196406440
Fax Number 7192286609
Sole Proprietor X
Credentials PA-C

NPI Number Detail

NPI Number 1154308245
Provider Enumeration Date 2005-12-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2840 International Cir
City Colorado Springs
State Colorado (CO)
Post Code 809103127
Phone Number 7196406440
Fax Number 7192286609

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 268
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7026297 CO --

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FAQs about Lynnette Groeger

What is the unique 10-digit identification code assigned to Lynnette Groeger by the Centers for Medicare & Medicaid Services?

The Lynnette Groeger has been issued the NPI (National Provider Identifier) 1154308245, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lynnette Groeger is physically located?

The Lynnette Groeger is physically situated at the following address: 2840 International Cir, Colorado Springs, CO, 809103127.

What is the Lynnette Groeger's area of specialization and corresponding taxonomy classification?

The Lynnette Groeger's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When was the Lynnette Groeger's 1154308245 issued?

The Lynnette Groeger's 1154308245 was issued on 2005-12-29.

When was the information pertaining to Lynnette Groeger most recently updated or revised?

The details related to Lynnette Groeger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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