Provider Demographics
NPI:1396183356
Name:BARLAND, ALYCIA CAREY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYCIA
Middle Name:CAREY
Last Name:BARLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 MOUNTAIN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3212
Mailing Address - Country:US
Mailing Address - Phone:720-494-3118
Mailing Address - Fax:970-237-8035
Practice Address - Street 1:1850 MOUNTAIN VIEW AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3212
Practice Address - Country:US
Practice Address - Phone:720-494-3118
Practice Address - Fax:970-237-8035
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9408154207R00000X
CODR0058625207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000149654Medicaid