# KOENA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Koena Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295413417
- **Authorized official:** LYNDSEY RENEE CORDOVA LAC (CO-OWNER)
- **Authorized official phone:** (720) 487-8333

## Contact information

- **Practice address:** 620 KIMBARK ST, LONGMONT, CO 80501-4911
- **Practice address phone:** (303) 834-8376
- **Mailing address:** 713 3RD AVE, LONGMONT, CO 80501-5926
- **Mailing address phone:** (303) 834-8376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 03/07/2025