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Individual

GENEVIEVE LAMANCUSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3450 ASH AVE, BOULDER, CO 80305-3432
(720) 771-2474
Mailing address
3450 ASH AVE, BOULDER, CO 80305-3432
(720) 771-2474

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0991420
CO

Other

Enumeration date
10/08/2014
Last updated
10/08/2014
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