Individual
MS. LORI DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 DETROIT AVE, HOT SPRINGS, SD 57747-2703
(720) 988-3132
Mailing address
1501 DETROIT AVE, HOT SPRINGS, SD 57747-2703
(720) 988-3132
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
0106850
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
ABCDEFG
IA
Enumeration date
06/29/2020
Last updated
06/29/2020
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