Individual
LISA ANN PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SPRINGS BLVD.. SUITE 201, DURANGO, CO 81301
(970) 375-2273
(970) 375-2207
Mailing address
PO BOX 295, WOLCOTT, CO 81655-0295
(831) 521-1788
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MT0010107
CO
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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