NPI 1235594169
Lorielle M Jack
Practice location
- Address
- 2530 Colorado Ave Unit 1a, Durango, CO 81301-4761
- Phone
- (970) 335-2442
- Mailing address
- 185 Suttle St, Durango, CO 81303-8276
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1235594169
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Dec 2015
- Record last updated
- 2 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.