Individual
LORRAINE N SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110641
CO
363L00000X
Nurse Practitioner
Primary
1854
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015330
KAISER-COMMERCIAL NUMBER
—
05
—
32509863
—
CO
Enumeration date
02/27/2007
Last updated
04/09/2018
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