Individual
GERALD L LOURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27416
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004062
KAISER-COMMERCIAL NUMBER
—
05
—
01274166
—
CO
Enumeration date
02/16/2007
Last updated
09/26/2012
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