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DR. LORI S MOLL MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1578572426
Individual Registrant:DR. LORI S MOLL MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
129 KANSAS AVE WALSENBURG, CO 81089-1818 US
Tel: 719-738-5200 Fax: --
Tel: 719-738-5200 Fax: --
Contact information for business:
129 KANSAS AVE WALSENBURG, CO 81089-1818 US
Tel: 719-738-5200 Fax: --
Tel: 719-738-5200 Fax: --
Registration Information:
NPI: 1578572426
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CO | 35353 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
