Individual
LACEY GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 FRANKLIN ST, DENVER, CO 80218-1126
(303) 318-3246
Mailing address
11886 NEWTON ST, WESTMINSTER, CO 80031-5010
(303) 885-1063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1620602
CO
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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