Individual
DR. SAMANTHA JO LORUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3339
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35128493
OH
2084N0400X
Neurology Physician
Primary
DR.0065591
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231078
—
OH
01
—
029212
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/14/2012
Last updated
05/26/2021
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