Individual
LEEANNA R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4505 REDMOND DR APT 18102, LONGMONT, CO 80503-7714
(720) 394-4909
Mailing address
4505 REDMOND DR APT 18102, LONGMONT, CO 80503-7714
(720) 394-4909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47243
CO
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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