Individual
MARISA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1125 THREE SPRINGS BLVD, DURANGO, CO 81301-9033
(970) 403-0180
Mailing address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 335-2422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN79084
ME
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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