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NPI Code Detail

MEDICARE: CHELSEA LUZUM PA

MEDICARE: CHELSEA LUZUM 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 AssistantPA.0009604CO

General Provider Information

NPI Number : 1811418106
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LUZUM PA
Provider Business Mailing Address
First Line : 2008 CARIBOU DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4325
Country : US
Telephone Number : 970-484-4757
Fax Number : 970-484-4759
Provider Business Practice Location Address
First Line : 1024 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3929
Country : US
Telephone Number : 970-484-4757
Fax Number : 970-484-4759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 05/07/2026

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Directions to “ CHELSEA LUZUM PA” Practice Location

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