Individual
MS. KAREN LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
725 SMITH AVE, TRINIDAD, CO 81082-2559
(719) 846-1639
(719) 846-1524
Mailing address
725 SMITH AVE, TRINIDAD, CO 81082-2559
(719) 846-1639
(719) 846-1524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12129
CO
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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