Individual
LORA ELANE SHIRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10013
MT
207Q00000X
Family Medicine Physician
108606
MN
207Q00000X
Family Medicine Physician
Primary
33226
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332261
—
CO
05
—
806323000
—
ID
01
—
C080182858
RAILROAD MEDICARE
CO
01
—
C080183782
RAILROAD MEDICARE
CO
05
—
C304127
—
CO
05
—
C373888
—
CO
05
—
C396338
—
CO
05
—
C488148
—
CO
05
—
C524308
—
CO
01
—
P00012544
RAILROAD MEDICARE
CO
01
—
P00071247
RAILROAD MEDICARE
CO
Enumeration date
05/23/2006
Last updated
05/25/2017
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