Individual
LORA A BUREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Mailing address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1939
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60189266
—
CO
Enumeration date
02/15/2006
Last updated
05/05/2009
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