Doctor Name: | MRS. LORI L COLBURN |
NPI Number: | 1023253523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12220 County Road 66 Greeley, CO - 806319344 |
Business Phone Number: | 8774263292 |
Business Fax Number: | |
Mailing Address: | 12220 County Road 66, GREELEY |
State: | CO |
Postal Code: | 806319344 |
Phone Number: | 8774263292 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2008 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |