Lorrie Lee Etenburn, CST/CFA

NPI #1104111889 in Fruita, Colorado

Provider Information

NPI Number
1104111889
Entity Type
Individual
Name
Lorrie Lee Etenburn, CST/CFA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CST/CFA
Enumeration Date
Jun 10, 2011
Last Updated
Apr 25, 2017

Practice Location

Address
976 AGATE CT
City
Fruita
ZIP Code
81521-3224
Phone
(970) 812-6975

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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