Individual
MRS. LILY DANDY BULTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(719) 526-7746
Mailing address
1305 N CASCADE AVE, COLORADO SPRINGS, CO 80903-2305
(719) 659-3060
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
5878
CO
Other
Enumeration date
01/15/2009
Last updated
11/15/2022
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