Individual
MRS. LORA LEE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
252 S 14TH ST, BURLINGTON, CO 80807-2321
(719) 346-7158
Mailing address
3905 COUNTY ROAD NN, FLAGLER, CO 80815-9502
(719) 765-4703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86607
CO
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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