Individual
LISA RUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6916 HIGHWAY 82, GLENWOOD SPRINGS, CO 81601-9435
(970) 945-2583
Mailing address
715 HORIZON DR, SUITE 225, GRAND JUNCTION, CO 81506-8700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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