Individual
LANI BOYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0008841
CO
Other
Enumeration date
03/31/2020
Last updated
12/07/2021
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