| La Fontaine | |
|
2774 E 2nd Ave Denver CO 80206-4808 | |
| (303) 355-4772 | |
| (303) 355-0014 |
| Full Name | La Fontaine |
|---|---|
| Speciality | Clinic/center |
| Location | 2774 E 2nd Ave, Denver, Colorado |
| Authorized Official Name and Position | Kenneth Oleszek (PRESIDENT) |
| Authorized Official Contact | 3033554772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Fontaine 2774 E 2nd Ave Denver CO 80206-4808 Ph: (303) 355-4772 | La Fontaine 2774 E 2nd Ave Denver CO 80206-4808 Ph: (303) 355-4772 |
| NPI Number | 1841426806 |
|---|---|
| Provider Enumeration Date | 06/04/2009 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841426806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20041336762 (Colorado) | Primary |
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