Individual
CRISTY LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 N 6TH ST, CANON CITY, CO 81212-3303
(719) 276-7458
Mailing address
201 N 6TH ST, CANON CITY, CO 81212-3303
(719) 276-7458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128882
CO
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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