Individual
VIRGINIA SHANNON LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
724 PEARL ST, BOULDER, CO 80302-5006
(303) 449-3103
(303) 402-1095
Mailing address
827 SUMNER ST, LONGMONT, CO 80501-4836
(303) 485-8586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5719
CO
Other
Enumeration date
11/10/2006
Last updated
02/21/2023
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