Individual
MS. LOIS ELLEN HICKMA N
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
5125 UTE HWY, LONGMONT, CO 80503-9128
(303) 823-6353
Mailing address
5125 UTE HWY, LONGMONT, CO 80503-9128
(303) 823-6353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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