LONNA DEE BLOOM PA-C
NPI 1952540817
Physician Assistant - Medical in Evans, CO
Active since February 16, 2009
About Lonna Dee Bloom Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONNA DEE BLOOM PA-C (NPI 1952540817) is an individual medical provider in Evans, Colorado, licensed in Colorado (114) and active in the NPI registry since February 2009.
NPPES Registry Identity
NPI1952540817
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLONNA DEE BLOOMCredential: PA-C
Location Address2930 11TH AVEEvans, CO 80620-1011
Mailing Address2930 11th AveEvans, CO 80620-1011 · (970) 353-9403 · Fax (970) 353-9906
Phone(970) 395-1130
Fax(970) 353-9906
Sole ProprietorNo
Enumeration DateFebruary 16, 2009
Last NPPES UpdateJuly 10, 2009
✔ NPI 1952540817 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 114
2930 11TH AVE, Evans, CO 80620
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952540817, enumerated as an "individual" on February 16, 2009.
The provider is located at 2930 11TH AVE EVANS, CO 80620 and the phone number is (970) 395-1130.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
