| Nathaniel Fortner Lee, DO | |
|
16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863-8763 | |
| (719) 686-0878 | |
| (719) 365-7885 |
| Full Name | Nathaniel Fortner Lee |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 16222 W Us Highway 24 Ste 200, Woodland Park, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437738184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 177916 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | DR.0073803 (Colorado) | Primary |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Fortner Lee, DO 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4123 | Nathaniel Fortner Lee, DO 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863-8763 Ph: (719) 686-0878 |
Rebecca Arnold, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 S Baldwin St, Woodland Park, CO 80863 Phone: 719-686-7776 | |
Randolph Lee James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 S Baldwin Street, Woodland Park, CO 80863 Phone: 719-686-7776 Fax: 719-355-1927 | |
Anne K Frailing, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-522-1133 | |
Michael E Kinne, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 818 Misty Pines Cir, Woodland Park, CO 80863 Phone: 719-351-9767 | |
Dr. John R. Torrent, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863 Phone: 719-686-0878 Fax: 719-686-7331 | |
Muthanna Yacoub, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863 Phone: 719-686-0878 Fax: 719-365-7885 |