Individual
LAUREN KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 ADAMS CIR, BOULDER, CO 80303-1820
(303) 444-3967
Mailing address
2175 ALPINE ST APT E305, LONGMONT, CO 80504-2554
(305) 613-6931
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
10/05/2017
Last updated
02/11/2022
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