Jack, Lorielle M

Jack, Lorielle M is an individual health care provider with primary practice located at 2530 Colorado Ave Unit 1A , Durango CO 81301-4761. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jack, Lorielle M can be contacted via phone (970) 335-2442.

Contact Information

Primary practice address
2530 Colorado Ave Unit 1A Durango CO 81301-4761
Phone: (970) 335-2442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH002024003 Colorado

Profile Details

NPI number 1235594169
LBN Legal business name Jack, Lorielle M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2015
Last updated Jan 2nd, 2020 - about 5 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.

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