Lorusso, Samantha Jo

Lorusso, Samantha Jo is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Lorusso, Samantha Jo can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35128493 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DR.0065591 Colorado

Profile Details

NPI number 1780946731
LBN Legal business name Lorusso, Samantha Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated May 26th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780946731 NPPES
Colorado Other 029212 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 0231078 KAISER COMMERCIAL NUMBER

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