Individual
LAURISSA MIECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 TERRY ST, LONGMONT, CO 80501-5442
(720) 251-4869
Mailing address
438 TERRY ST, LONGMONT, CO 80501-5442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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