Organization Name: | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
NPI Number: | 1851579262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL W. JOHNSON (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 310 County Road 14 Del Norte |
State: | CO US |
Postal Code: | 811328719 |
Phone Number: | 7196572510 |
Fax Number: | 7195871372 |
NPI Enumeration Date: | 02/07/2008 |
NPI Last Update Date: | 02/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |