Individual
LAWRENCE WECKBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6208 LEHMAN DR, SUITE 201, COLORADO SPRINGS, CO 80918-8408
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3804
CO
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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