Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4617 | CO |
NPI | 1023176419 |
---|---|
Provider Name | Ms. Lynn Sanders Cash I |
First Address | Colorado Springs, CO 80918-1967 |
Second Address | Colorado Springs, CO 80918-1967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 22/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
489318 | (02) | CO |