Individual
LYNN MARIE NICOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7777
Mailing address
3241 E 103RD PL APT 1006, THORNTON, CO 80229-8467
(720) 536-7777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91764
CO
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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