Individual
CORTNEY LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Mailing address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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