Individual
LAURIE LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13839 HORSETAIL TER, COLORADO SPRINGS, CO 80921-7606
(719) 439-2525
Mailing address
13839 HORSETAIL TER, COLORADO SPRINGS, CO 80921-7606
(719) 439-2525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10093
CO
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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