| Lori Virginia Deatherage, LPN | |
|
212 W 13th St, Pueblo, CO 81003-3754 | |
| (719) 696-9027 | |
| Not Available |
| Full Name | Lori Virginia Deatherage |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 212 W 13th St, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548081235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.0026443 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Virginia Deatherage, LPN 212 W 13th St, Pueblo, CO 81003-3754 Ph: (719) 696-9027 | Lori Virginia Deatherage, LPN 212 W 13th St, Pueblo, CO 81003-3754 Ph: (719) 696-9027 |
Debbie Mae Knish, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3670 Parker Blvd, Pueblo, CO 81008 Phone: 719-369-1351 | |
Chrystal Moon Nystuen, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1711 E Evans Ave, Pueblo, CO 81004 Phone: 719-543-9751 | |
Ms. Ursula Lynette Hollins, MSW, LPN, LAC Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 275 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-621-1929 Fax: 719-621-4974 | |
Dana G Lieser, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2429 S Prairie Ave, Pueblo, CO 81005 Phone: 719-564-5070 Fax: 719-896-2874 | |
Jackie Herrin, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 275 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-621-1929 Fax: 719-621-4974 | |
Raquelina Isabel Macall, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 212 W 13th St, Pueblo, CO 81003 Phone: 719-696-9027 | |
Kelly Vaters, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100 |