Individual
MEGAN RENEE THRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S MAIN ST, LAMAR, CO 81052-3838
(719) 336-8721
Mailing address
1001 S MAIN ST, LAMAR, CO 81052-3838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1622055
CO
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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