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Individual

ROBYN NORDSTROM LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3102
Mailing address
829 MOUNT EVANS CT, LOUISVILLE, CO 80027-3112
(720) 355-0440

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52666
CO
207Q00000X
Family Medicine Physician
MD00046947
WA

Other

Enumeration date
05/02/2007
Last updated
03/09/2017
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