Healthcare Provider Details

I. General information

NPI: 1619288446
Provider Name (Legal Business Name): LORNA GAIL DAWSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2010
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 E PROSPECT RD STE 190
FORT COLLINS CO
80525-9098
US

IV. Provider business mailing address

2620 E PROSPECT RD STE 190
FORT COLLINS CO
80525-9098
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-1106
  • Fax: 970-232-1050
Mailing address:
  • Phone: 970-657-3835
  • Fax: 307-306-0307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number27240.1075
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number27240.1075
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: