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DR. LORI S MOLL MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1578572426

Individual Registrant:
DR. LORI S MOLL MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
129 KANSAS AVE  WALSENBURG, CO 81089-1818 US
Tel: 719-738-5200  Fax: --

Contact information for business:
129 KANSAS AVE  WALSENBURG, CO 81089-1818 US
Tel: 719-738-5200  Fax: --

Registration Information:
NPI: 1578572426
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CO35353

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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