Individual
DAVID MICHAEL LORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601
(970) 945-8503
(970) 945-0253
Mailing address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601
(970) 945-8503
(970) 945-0253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03729702
—
CO
01
—
C805192
PTAN
CO
Enumeration date
10/23/2006
Last updated
05/26/2016
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