Carroll, Loraine Lynn
Carroll, Loraine Lynn is an individual health care provider with primary practice located at 1600 N Grand Ave Suite 240, Pueblo CO 81003-2700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carroll, Loraine Lynn can be contacted via phone (719) 296-2305.Contact Information
Primary practice address
1600 N Grand Ave Suite 240
Pueblo CO 81003-2700
Phone: (719) 296-2305
Fax: (719) 295-2320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36942 | Colorado |
Profile Details
| NPI number | 1801828850 |
|---|---|
| LBN Legal business name | Carroll, Loraine Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 2nd, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801828850 | NPPES |
| Colorado | MEDICAID | 01369420 | |
| Colorado | Other | CA604838 |
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