Individual
MOLLY A LALONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(970) 619-8139
(970) 612-8013
Mailing address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(970) 619-8139
(970) 612-8013
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
95013740
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0998372-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017521
—
TN
Enumeration date
01/23/2015
Last updated
06/07/2023
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