Individual
MS. CYNTHIA JUNE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2995 BASELINE RD, SUITE 210, BOULDER, CO 80303-2318
(303) 443-2544
(303) 443-6476
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
110
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06971881
—
CO
Enumeration date
04/19/2006
Last updated
11/15/2013
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