Graduated: 2012
NPI: 1457032435
Practice Locations (4)
LAKE FORK HEALTH SERVICES DISTRICT
700 N HENSON
LAKE CITY, CO 81235
LAKE FORK HEALTH SERVICES DISTRICT
700 N HENSON ST
LAKE CITY, CO 812355127
9709442331
LAKE FORK HEALTH SERVICES DISTRICT
721 WILDFLOWER RD
LAKE CITY, CO 812355295
LAKE FORK HEALTH SERVICES DISTRICT
PO BOX, SUITE 999
LAKE CITY, CO 81235
Source: CMS National Downloadable File, September 2026.