Individual
TALLY LODICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3099
(303) 338-4545
Mailing address
8522 S BALSAM ST, LITTLETON, CO 80128-6218
(970) 406-0176
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1679383
CO
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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