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NPI Code Detail

MEDICARE: LINDSAY JEAN KOZICZ PA

MEDICARE: LINDSAY JEAN KOZICZ PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA21073CA
2363A00000XPhysician AssistantPA.0009492CO

General Provider Information

NPI Number : 1770736811
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY JEAN KOZICZ PA
Provider Business Mailing Address
First Line : 2121 E HARMONY RD UNIT 170
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3413
Country : US
Telephone Number : 203-695-2517
Fax Number : 512-495-5709
Provider Business Practice Location Address
First Line : 2121 E HARMONY RD UNIT 170
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3413
Country : US
Telephone Number : 203-695-2517
Fax Number : 512-495-5709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2008
Last Update Date : 03/19/2026

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Directions to “ LINDSAY JEAN KOZICZ PA” Practice Location

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