MRS. Loretta C Powell, PAC

NPI #1275590598 in Limon, Colorado

Provider Information

NPI Number: 1275590598
Entity Type: Individual
Name: MRS. Loretta C Powell, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Apr 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 820 1ST STREET
City: Limon
State: Colorado
ZIP Code: 80828-1120
Phone: (719) 775-2367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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