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Individual

DR. CHRISTINA BOOVER LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A/SLP

Contact information

Practice address
111 N MAIN ST, MANCOS, CO 81328-5004
(970) 459-1179
Mailing address
PO BOX 1256, MANCOS, CO 81328-1256
(197) 045-9117
(800) 531-0273

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
644
CO
235Z00000X
Speech-Language Pathologist
CO

Other

Enumeration date
06/05/2013
Last updated
05/12/2021
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