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Ms. Lorraine Gwen Grube, PA-C
Medical Physician Assistant in Cripple Creek, Colorado
NPI 1184614828

Lorraine Gwen Grube is a Medical Physician Assistant based in Colorado Springs, CO and is specialized in Medical. Lorraine Gwen Grube practices in Cripple Creek, CO and has the professional credentials of PA-C. The NPI Number for Lorraine Gwen Grube is 1184614828 and holds a License No. 1516 (Colorado).

The current practice location address for Lorraine Gwen Grube is 412 North C Street, Cripple Creek, CO and can be reached out via phone at 719-200-9668.

Location: 412 North C Street, Cripple Creek, CO, 80917-5101
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Provider Profile Details
NPI Number
1184614828
Provider Name
Lorraine Gwen Grube
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
412 North C Street, Cripple Creek, CO, 80917-5101
Phone Number
719-200-9668
Fax Number
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44985738 05 CO
institution
Provider Business Practice Location Address Details
Address
412 North C Street
City
State
Zip
80813
Phone Number
719-200-9668
Fax Number
person
Provider Business Mailing Address Details
Address
412 North C Street
City
State
Zip
80813
Phone Number
719-200-9668
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1516 (Colorado)
Definition
Definition to come...
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