SearchColorado235Z00000X

Lacy Vannorsdel

NPI 1225447048 · on the registry since 2014

Practice

Address
2133 Krisron Rd
Unit A101
Fort Collins, CO 80525
Phone
(605) 660-2111
Organisation at this address
Samantha Goudy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado