Individual
KRISTEN MARIE LERVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1551 PROFESSIONAL LN, LONGMONT, CO 80501-6972
(303) 604-5000
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005709
CO
Other
Enumeration date
04/11/2019
Last updated
11/11/2022
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