MS. Lorraine Gwen Grube, PA-C
NPI #1184614828 in Cripple Creek, Colorado
Provider Information
- NPI Number
- 1184614828
- Entity Type
- Individual
- Name
- MS. Lorraine Gwen Grube, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 25, 2005
- Last Updated
- Dec 8, 2014
Practice Location
- Address
- 412 NORTH C STREET
- City
- Cripple Creek
- State
- Colorado
- ZIP Code
- 80813
- Phone
- (719) 200-9668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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