Individual
LANESA DENSES HOWARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
559 VINCENT ST, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Mailing address
559 VINCENT ST, 21ST MEDICAL GROUP SGHQ CREDENTIALS, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW992411
CO
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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