Custer, Cynthia Lawther

Custer, Cynthia Lawther is an individual health care provider with primary practice located at 1330 W Colorado Ave , Colorado Springs CO 80904-4023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Custer, Cynthia Lawther can be contacted via phone (719) 475-7162.

Contact Information

Primary practice address
1330 W Colorado Ave Colorado Springs CO 80904-4023
Phone: (719) 475-7162
Fax: (719) 475-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 91792 Colorado

Profile Details

NPI number 1710914452
LBN Legal business name Custer, Cynthia Lawther
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710914452 NPPES
Colorado MEDICAID 230

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