Individual
DR. LORIN S BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1213 GUSDORF RD, TAOS, NM 87571-6361
(970) 542-0221
Mailing address
1213 GUSDORF RD, TAOS, NM 87571-6361
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
506
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005065
—
CO
Enumeration date
03/02/2007
Last updated
02/16/2023
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