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NPI Code Detail

MEDICARE: ANN MARIE LORSON PHARMD

MEDICARE:   ANN MARIE  LORSON  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18134CO
2183500000XPharmacist03328811OH

General Provider Information

NPI Number : 1407139744
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE LORSON PHARMD
Provider Business Mailing Address
First Line : 2190 W DRAKE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1488
Country : US
Telephone Number : 970-484-5841
Fax Number :
Provider Business Practice Location Address
First Line : 2190 W DRAKE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1488
Country : US
Telephone Number : 970-484-5841
Fax Number : 970-484-6913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 12/03/2011

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Directions to “ ANN MARIE LORSON PHARMD” Practice Location

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