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Lori Deatherage, LPN

NPI 1548081235 · on the registry since 2024

Practice

Address: 212 W 13th St
Pueblo, CO 81003
Phone: (719) 696-9027
Organisation at this address: Elevate Healthcare Llc
Elevate Healthcare Lab Llc
Elevate Healthcare Llc Labs
All Terrain Behavior Health Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Licensed Practical Nurse
164W00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-24

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