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Individual

LORI LYNN HOLST THORNDIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3814 E 120TH AVE, THORNTON, CO 80233-1608
(303) 452-2046
(303) 280-0942
Mailing address
500 ELDORADO BLVD # 6250, BROOMFIELD, CO 80021-3408
(303) 272-0751
(303) 318-2488

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44567
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47627719
CO
Enumeration date
05/31/2007
Last updated
01/16/2013
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