Provider Demographics
NPI:1366819856
Name:PRITCHETT, LORA (RN)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 S FOREST ST APT 1-102
Mailing Address - Street 2:MAILING ADDRESS: 1241 DEL MAR PKWY AURORA, CO 80010
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8144
Mailing Address - Country:US
Mailing Address - Phone:720-304-5081
Mailing Address - Fax:
Practice Address - Street 1:2130 STOUT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2827
Practice Address - Country:US
Practice Address - Phone:303-293-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO78556163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse