Lorraine Gwen Grube in Colorado Springs - Medical
Lorraine Gwen Grube - NPI 1184614828
Lorraine Gwen Grube is a Medical in Colorado Springs, Colorado. Lorraine Gwen Grube practices all healthcare services and medical treatments related to Medical. The NPI Number for Lorraine Gwen Grube is 1184614828. The last update date is 2014-12-08.
Lorraine Gwen Grube's current location address is 3205 N Academy Blvd, Colorado Springs, Colorado. You can contact this provider via phone number 7196325700 and fax number 7193447837. The mailing address for Lorraine Gwen Grube is 3205 N Academy Blvd, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lorraine Gwen Grube |
|---|---|
| Address | 3205 N Academy Blvd, Colorado Springs, Colorado |
| Phone Number | 7196325700 |
| Fax Number | 7193447837 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184614828 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2014-12-08 |
Provider Mailing Address Detail
| Address | 3205 N Academy Blvd |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809175101 |
| Phone Number | 7196325700 |
| Fax Number | 7193447837 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1516 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44985738 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lorraine Gwen Grube by the Centers for Medicare & Medicaid Services?
The Lorraine Gwen Grube has been issued the NPI (National Provider Identifier) 1184614828, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lorraine Gwen Grube?
The Lorraine Gwen Grube is physically situated at 3205 N Academy Blvd, in the city of Colorado Springs, state of CO, with the postal code 809175101.
What is Lorraine Gwen Grube's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lorraine Gwen Grube is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184614828 to Lorraine Gwen Grube?
The Centers for Medicare & Medicaid Services assigned the 1184614828 to Lorraine Gwen Grube on 2005-10-25.
When was the information pertaining to Lorraine Gwen Grube most recently updated or revised?
The details related to Lorraine Gwen Grube, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-08.