Doctor Name: | LANE D LOOKA |
NPI Number: | 1003047325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 165719 |
Business Practice Address: | 1600 Pr Ctr Pkwy Brighton, CO - 806014006 |
Business Phone Number: | 3034981999 |
Business Fax Number: | |
Mailing Address: | 843 Carriage Dr, MILLIKEN |
State: | CO |
Postal Code: | 805433086 |
Phone Number: | 7193430378 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2009 |
NPI Last Update Date: | 12/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 165719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |