Lacie Roskop
NPI #1972730158 in Commerce City, Colorado
Provider Information
- NPI Number
- 1972730158
- Entity Type
- Individual
- Name
- Lacie Roskop
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Jun 16, 2009
- Last Updated
- Jun 16, 2009
Practice Location
- Address
- 18240 EAST 104TH AVENUE
- Address 2
- SUITE 201
- City
- Commerce City
- State
- Colorado
- ZIP Code
- 80022-0660
- Phone
- (303) 928-7838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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