Individual
LAUREN NEBBERGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 S LEMAY AVE STE A, FORT COLLINS, CO 80525-1295
(970) 286-0033
(970) 221-0982
Mailing address
4012 DUBLIN DR, LAPORTE, CO 80535-9386
(303) 960-9506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0010638
CO
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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