Individual
MARY LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 RIVERSIDE AVE, FORT COLLINS, CO 80524-4352
(970) 493-1292
(970) 493-1210
Mailing address
1313 RIVERSIDE AVE, FORT COLLINS, CO 80524-4352
(970) 493-1292
(970) 493-1210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117108
CO
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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