Individual
KRISTA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
637 WABASH ST, FORT COLLINS, CO 80526-3216
(970) 490-3578
Mailing address
2407 LAPORTE AVE, FORT COLLINS, CO 80521-2211
(970) 488-8833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
370830
CO
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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