Individual
DIANA LYNNE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 S AMMONS ST, LAKEWOOD, CO 80227-2409
(303) 881-3699
Mailing address
2125 S AMMONS ST, LAKEWOOD, CO 80227-2409
(303) 881-3699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1162745
CO
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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