Individual
GRACE LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1315 VIVIAN ST, LONGMONT, CO 80501-3216
(303) 776-8748
(303) 684-9915
Mailing address
1315 VIVIAN ST, LONGMONT, CO 80501-3216
(303) 776-8748
(303) 684-9915
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0001327
CO
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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