| Organization Name: | LAKE COUNTY PUBLIC HEALTH |
| NPI Number: | 1427493824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COLLEEN NIELSON (DIRECTOR) |
| Mailing Address: | 112 W 5th St Leadville |
| State: | CO US |
| Postal Code: | 804613510 |
| Phone Number: | 7194862413 |
| Fax Number: | 7194864168 |
| NPI Enumeration Date: | 04/30/2013 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | RN.1618656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |