Individual
MISS LANETTE L AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6170 LEHMAN DR, SUITE 105, COLORADO SPRINGS, CO 80918-3436
(719) 217-1168
Mailing address
2855 BLAKE DR, COLORADO SPRINGS, CO 80916-3346
(719) 217-1168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-9125
CO
Other
Enumeration date
06/21/2012
Last updated
09/23/2015
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