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Individual

MRS. LISA ANN WINNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5606 N UNION BLVD, COLORADO SPRINGS, CO 80918-1940
(719) 593-7300
Mailing address
14940 QUAIL RUN RD, COLORADO SPRINGS, CO 80908-6126
(719) 338-3308

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6939
CO

Other

Enumeration date
12/02/2011
Last updated
12/02/2011
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