Individual
LANA KAY GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 WHEATON DR UNIT B210, FORT COLLINS, CO 80525-7532
(970) 213-6392
Mailing address
4545 WHEATON DR UNIT B210, FORT COLLINS, CO 80525-7532
(970) 213-6392
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MT.0012450
CO
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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