Individual
LAUREN MARY MCILVANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10184 E I25 FRONTAGE RD, FIRESTONE, CO 80504-5445
(720) 378-6670
Mailing address
713 DAWN AVE, FORT COLLINS, CO 80524-8402
(319) 573-3830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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