Provider Demographics
NPI:1316651540
Name:QUINONEZ, LAMIJA (NP)
Entity type:Individual
Prefix:
First Name:LAMIJA
Middle Name:
Last Name:QUINONEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2997 BROADMOOR VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4405
Mailing Address - Country:US
Mailing Address - Phone:303-881-0792
Mailing Address - Fax:720-792-9743
Practice Address - Street 1:2997 BROADMOOR VALLEY RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4405
Practice Address - Country:US
Practice Address - Phone:303-881-0792
Practice Address - Fax:720-792-9743
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COF01230508363LP2300X
COAPN.0998364.NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care