Individual
LOIS MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1315 SNOWDEN, SILVERTON, CO 81433
(970) 387-0242
(970) 387-5036
Mailing address
PO BOX 619, SILVERTON, CO 81433-0619
(970) 387-0242
(970) 387-5036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0108381
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83723561
—
CO
Enumeration date
09/16/2014
Last updated
10/22/2014
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