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Individual

LUCIA C LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
230 CHAPEL PLACE, UNIT D101, AVON, CO 81620
(970) 569-7715
(970) 470-6697
Mailing address
PO BOX 40000, OCCUPATIONAL HEALTH, VAIL, CO 81658
(970) 569-7715
(970) 470-6697

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP1008572
FL
363LX0106X
Occupational Health Nurse Practitioner
Primary
990352
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3088669-00
FL
05
480469761A
GA
Enumeration date
01/08/2008
Last updated
07/17/2012
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