Individual
LERA VIRGINIA MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 SOUTH DRIVE, FORT COLLINS, CO 80521
(970) 491-1460
Mailing address
1028 W OAK ST, FORT COLLINS, CO 80521-2409
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
19741
CO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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