Individual
LYNDSEY RENEE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
620 KIMBARK ST, LONGMONT, CO 80501-4911
(303) 834-8376
Mailing address
620 KIMBARK ST, LONGMONT, CO 80501-4911
(303) 834-8376
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002798
CO
246ZS0410X
Surgical Technologist
ST.0002173
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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