Individual
LORI WERTHEIMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
192 FRONT ST, MONUMENT, CO 80132-6738
(719) 488-6998
(719) 488-8270
Mailing address
192 FRONT ST, MONUMENT, CO 80132-6738
(719) 488-6998
(719) 488-8270
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31067
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310671
—
CO
Enumeration date
06/07/2006
Last updated
07/08/2007
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