Individual
TINA LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 BLUFF ST STE 200, BOULDER, CO 80301-2163
(720) 470-0010
Mailing address
1601 29TH ST UNIT 1292, BOULDER, CO 80301-1010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
12/28/2022
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