Healthcare Provider Details
I. General information
NPI: 1588909626
Provider Name (Legal Business Name): LYNSEY CURRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/30/2012
Last Update Date: 11/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 SPRING ST
MORRISON CO
80465-2532
US
IV. Provider business mailing address
150 SPRING ST
MORRISON CO
80465-2532
US
V. Phone/Fax
- Phone: 303-697-8181
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 12132801 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: