Individual
DOROTHY LONGOBARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 GILLASPIE DR, BOULDER, CO 80305-6600
(303) 494-7317
(303) 494-0653
Mailing address
1244 GILLASPIE DR, BOULDER, CO 80305-6600
(303) 494-7317
(303) 494-0653
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
230354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742161726
—
CO
Enumeration date
08/02/2016
Last updated
08/02/2016
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