Individual
MS. LYN LEE MC CULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 764-4665
(303) 764-4468
Mailing address
1177 RACE ST APT 507, DENVER, CO 80206-2881
(303) 601-2612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45492
CO
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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