Individual
LORIE ANN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-3900
(720) 718-0999
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-3900
(720) 718-0999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004954
CO
363AS0400X
Surgical Physician Assistant
PA.0004954
CO
363AS0400X
Surgical Physician Assistant
PA9105670
FL
Other
Enumeration date
11/15/2010
Last updated
05/21/2020
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