Individual
MRS. LAUREN ANN DOMECQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 HUMBOLDT ST, DENVER, CO 80218-1614
(303) 504-1624
Mailing address
6448 S ALKIRE ST, # 1931, LITTLETON, CO 80127-5066
(208) 861-3828
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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