LONNA DEE BLOOM PA-C NPI 1952540817

NPI Information

NPI: 1952540817
Provider Name: LONNA DEE BLOOM, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 395-1130
Get Directions

Lonna Dee Bloom, PA-C is a medical physician assistant in Evans, CO. Lonna Dee Bloom, PA-C NPI is 1952540817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2930 11TH AVE
EVANS, CO
ZIP 80620-011
Phone: (970) 395-1130
Fax: (970) 353-9906

The enumeration date for this NPI number is 2/16/2009 and was last updated on 7/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	114	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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