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NPI Code Detail

MEDICARE: LARA DUNN SLP

MEDICARE:   LARA  DUNN  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12021037CO

General Provider Information

NPI Number : 1548330871
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARA DUNN SLP
Provider Business Mailing Address
First Line : 1829 DENVER WEST DR BLDG 27
Second Line :
City : GOLDEN
State : CO
Zip : 80401-3120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1829 DENVER WEST DR BLDG 27
Second Line :
City : GOLDEN
State : CO
Zip : 80401-3120
Country : US
Telephone Number : 303-504-9945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 09/04/2024

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Directions to “ LARA DUNN SLP” Practice Location

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