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Individual
MRS. LORI ANNE FAY
Active
Individual
MRS. LORI ANNE FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR43734
CO
207Q00000X
Family Medicine Physician
Primary
T501
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51770377
—
NM
Enumeration date
04/06/2006
Last updated
04/16/2008
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