Dellota, Kriss Lawrence

Dellota, Kriss Lawrence is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dellota, Kriss Lawrence can be contacted via phone (970) 495-8006.

Contact Information

Primary practice address
1024 S Lemay Ave Fort Collins CO 80524-3929
Phone: (970) 495-8006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 40586 Colorado

Profile Details

NPI number 1730164708
LBN Legal business name Dellota, Kriss Lawrence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Mar 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730164708 NPPES
Colorado MEDICAID 27607861
Colorado MEDICAID 55827847
Colorado Other S5008
Colorado MEDICAID 117530100

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