Individual
LORI KAY FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 NORTH AVE, GRAND JCT, CO 81501-6428
(970) 263-5062
Mailing address
2254 TELLIS CT, GRAND JCT, CO 81505-8310
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
219
CO
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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