Individual
LULU DELPHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7648 CHATHAM WAY, BOULDER, CO 80301-4038
(406) 544-7561
Mailing address
7648 CHATHAM WAY, BOULDER, CO 80301-4038
(406) 544-7561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023616
CO
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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