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LORIE ANN AUSTIN PA-C

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1437450996

Individual Registrant:
 LORIE ANN AUSTIN PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1750 E KEN PRATT BLVD  LONGMONT, CO 80504-5311 US
Tel: 720-718-3900  Fax: 720-718-0999

Contact information for business:
1750 E KEN PRATT BLVD  LONGMONT, CO 80504-5311 US
Tel: 720-718-3900  Fax: 720-718-0999

Registration Information:
NPI: 1437450996
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
COPA.0004954
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9105670
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0004954

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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