Lana Shore

NPI #1295430965 in Livermore, Colorado

Provider Information

NPI Number: 1295430965
Entity Type: Individual
Name: Lana Shore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 3, 2023
Last Updated: Apr 3, 2023

Practice Location

Address: 526 RED TAIL TRL
City: Livermore
State: Colorado
ZIP Code: 80536-9509
Phone: (970) 682-7769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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