Individual
KIRSTEN JEANNE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, L.AC.
Contact information
Practice address
4523 E BENNINGTON AVE, CASTLE ROCK, CO 80104-8771
(303) 325-6692
Mailing address
4523 E BENNINGTON AVE, CASTLE ROCK, CO 80104-8771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1625522
CO
171100000X
Acupuncturist
1240
CO
Other
Enumeration date
07/10/2007
Last updated
12/21/2016
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