Individual
RILEY RAVN LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 S TEJON ST STE 501, COLORADO SPRINGS, CO 80903-1530
(866) 226-8576
Mailing address
609 N 2ND ST W, MISSOULA, MT 59802-2917
(805) 259-7981
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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