Individual
LORI LAROCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
US HWY 64 OLD HIGH SCHOOL RD, SHIPROCK, NM 87420
(505) 598-6114
Mailing address
705 W 31ST ST, FARMINGTON, NM 87401-4046
(201) 385-2644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
595581
UT
Other
Enumeration date
10/03/2018
Last updated
10/17/2018
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