Healthcare Provider Details

I. General information

NPI: 1245379262
Provider Name (Legal Business Name): LUANNE SPERANDO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 12/22/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 N UNION BLVD STE 220
COLORADO SPRINGS CO
80920-2701
US

IV. Provider business mailing address

2 S CASCADE AVE STE 140
COLORADO SPRINGS CO
80903-1604
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-9191
  • Fax: 719-574-2829
Mailing address:
  • Phone: 719-576-7006
  • Fax: 719-576-7981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number46421
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: