Individual provider · Type 1 NPI

Lori Virginia Deatherage, LPN

Licensed Practical Nurse · Pueblo, CO

NPI number 1548081235 Active

Practice location

212 W 13th St
Pueblo, CO 81003-3754

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.0026443 (CO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

18 other providers at this address

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About NPI 1548081235

Lori Virginia Deatherage, LPN's National Provider Identifier is 1548081235, issued on Oct 24, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pueblo, CO. The record was last updated on Oct 24, 2024.