Healthcare Provider Details
I. General information
NPI: 1912189788
Provider Name (Legal Business Name): INTEGRITY URGENT CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2007
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4323 INTEGRITY CENTER PT
COLORADO SPRINGS CO
80917-1683
US
IV. Provider business mailing address
4323 INTEGRITY CENTER PT
COLORADO SPRINGS CO
80917-1683
US
V. Phone/Fax
- Phone: 719-591-2558
- Fax: 719-591-2569
- Phone: 719-591-2558
- Fax: 719-591-2569
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
D
LAZAR
Title or Position: OWNER
Credential: M.D.
Phone: 719-471-2980