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Individual

LORI L ARCHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., FAAA

Contact information

Practice address
2478 PATTERSON RD, GRAND JUNCTION, CO 81505-3605
(970) 241-7950
(970) 241-7951
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1047043.00
WY
01
558385YVKX
MEDICARE
CO
05
84139972101
NE
Enumeration date
10/04/2006
Last updated
01/27/2021
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