Healthcare Provider Details

I. General information

NPI: 1528972312
Provider Name (Legal Business Name): MEGAN LILY BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W LAKE STREET
FORT COLLINS CO
80523-1570
US

IV. Provider business mailing address

502 W LAKE STREET
FORT COLLINS CO
80523-1570
US

V. Phone/Fax

Practice location:
  • Phone: 970-491-5991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: