Organization Name: | LAKE COUNTY GOVERNMENT |
NPI Number: | 1851411458 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY M TYSON (DIRECTOR) |
Mailing Address: | 112 W 5th St Leadville |
State: | CO US |
Postal Code: | 804613510 |
Phone Number: | 7194862413 |
Fax Number: | 7194864168 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |