NPI 1700322575

Champions Family Medical, PLLC

Organisation Legal Medicine Pueblo, CO

Practice location

Address: 415 N Grand Ave, Pueblo, CO 81003-3111
Phone: (719) 924-8448
Fax: (719) 924-9382

Authorised official

Name: Richard B Lane
Title: Practice Manager
Phone: (719) 406-9304

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X

Other Legal Medicine providers in Colorado →

Registry record

NPI: 1700322575
Entity type: Organization
NPI issued: 17 Jan 2017
Record last updated: 17 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.