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Individual

MRS. LAUREN VIRGINIA WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
12476 W NEVADA PL APT 106, LAKEWOOD, CO 80228-3251
(719) 304-6160
Mailing address
4950 LARKSPUR ST., BOW MAR, CO 80123
(719) 304-6160

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016586
CO

Other

Enumeration date
08/19/2019
Last updated
03/31/2022
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