Individual
BEAU P LAURENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11275 E MISSISSIPPI AVE STE 1E8, AURORA, CO 80012-2818
(303) 363-9095
Mailing address
1100 W 43RD AVE, DENVER, CO 80211-2403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0015240
CO
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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