Individual
KRISTINA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1500 BALSAM AVE, BOULDER, CO 80304-3538
(720) 565-6970
Mailing address
1500 BALSAM AVE, BOULDER, CO 80304-3538
(720) 565-6970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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