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Individual

LORI T KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
301 W 6TH AVE # MC0510, DENVER, CO 80204-5182
(303) 602-8270

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1505
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22573763
CO
Enumeration date
07/28/2006
Last updated
03/08/2021
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