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Individual

LORRAINE FLORENCE MATTINGLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7222 COMMERCE CENTER DR STE 220, COLORADO SPRINGS, CO 80919-2631
(719) 650-0438
(719) 418-2276
Mailing address
7222 COMMERCE CENTER DR STE 220, COLORADO SPRINGS, CO 80919-2631
(719) 650-0438
(719) 418-2276

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0010062
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0010062-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000147753
CO
Enumeration date
04/01/2010
Last updated
03/12/2023
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