Provider Demographics
NPI:1831583871
Name:LYBARGER & ASSOCIATES INC
Entity type:Organization
Organization Name:LYBARGER & ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:LYBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-552-9933
Mailing Address - Street 1:12303 AIRPORT WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-2727
Mailing Address - Country:US
Mailing Address - Phone:303-421-8080
Mailing Address - Fax:303-421-8048
Practice Address - Street 1:12303 AIRPORT WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-2727
Practice Address - Country:US
Practice Address - Phone:303-421-8080
Practice Address - Fax:303-421-8048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04A933251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health