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NPI Code Detail

MEDICARE: LORI HINZE, PC

MEDICARE: LORI HINZE, PC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629228341
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORI HINZE, PC
Provider Business Mailing Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-314-7623
Fax Number : 719-309-1295
Provider Business Practice Location Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-314-7623
Fax Number : 719-309-1295
Authorized Official
Title or Position : THERAPIST
Name : LORI ELLEN HINZE
Credential : MA, LPC
Telephone Number : 719-314-7623
Provider Enumeration Date : 09/30/2008
Last Update Date : 06/21/2024

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