Individual
ANDREW LACRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10190 BANNOCK ST, NORTHGLENN, CO 80260-6083
(303) 237-6865
Mailing address
9469 E 109TH AVE, COMMERCE CITY, CO 80640-7551
(720) 999-4268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CO
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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