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Eric Lorensen
NPI 1497318448 · on the registry since 2019
Practice
- Address
- 412 Eagleridge Blvd
Pueblo, CO 81008 - Phone
- (719) 553-0914
- Organisation at this address
- Sams West Inc
Sam'S Club Optical
Ellington Eyecare PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado