Individual
LAUREN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2824 7TH AVE, PUEBLO, CO 81003-1625
(719) 502-1326
Mailing address
2824 7TH AVE, PUEBLO, CO 81003-1625
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024503
CO
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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