Individual
LYNDA LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 ILLINOIS GULCH RD., UNIT 18-5, BRECKENRIDGE, CO 80424-3998
(303) 619-5237
Mailing address
PO BOX 3998, BRECKENRIDGE, CO 80424-3998
(303) 619-5237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
68082
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20031203005
EIN
CO
Enumeration date
02/05/2016
Last updated
02/05/2016
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