SearchColorado183500000X

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 Pllc
Inferred 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