Individual
LYNETTE DENISE MAUGE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2833 BROADWAY ST, BOULDER, CO 80304-3544
(303) 449-2217
Mailing address
4454 GLENCOVE PL, BOULDER, CO 80301-4040
(303) 581-9705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98759
CO
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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