Individual
LORI LYNN HEARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5158 W LAKE PL, 5158 W LAKE PLACE, LITTLETON, CO 80123-6726
(303) 554-0251
Mailing address
5158 W LAKE PL, 5158 W LAKE PLACE, LITTLETON, CO 80123-6726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
102672
CO
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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