Individual
LORI KATHERINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
900 S 12TH ST, ROCKY FORD, CO 81067-2128
(719) 254-3314
(719) 254-7007
Mailing address
900 S 12TH ST, ROCKY FORD, CO 81067-2198
(719) 254-3314
(719) 254-7007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000482
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346697471
—
CO
Enumeration date
04/10/2018
Last updated
04/10/2018
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