Individual
LORISSA BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2935 BASELINE RD STE 302, BOULDER, CO 80303-2367
(720) 315-0051
Mailing address
2935 BASELINE RD STE 302, BOULDER, CO 80303-2367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1051754
—
Other
Enumeration date
10/11/2017
Last updated
10/13/2017
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