Individual
LORI VANACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
0195493
CO
207Q00000X
Family Medicine Physician
0996028-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
0996028-NP
CO
Other
Enumeration date
11/12/2020
Last updated
07/16/2025
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