Individual
LORI LEA SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2481 S XANADU WAY UNIT A, AURORA, CO 80014-2141
(303) 881-9022
Mailing address
2481 S XANADU WAY UNIT A, AURORA, CO 80014-2141
(303) 881-9022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00046
CO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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