Provider Demographics
NPI:1164701587
Name:HUBBELL, LORI D (RNFA)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:D
Last Name:HUBBELL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 SPRING PARK RDG
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-8944
Mailing Address - Country:US
Mailing Address - Phone:970-963-2997
Mailing Address - Fax:
Practice Address - Street 1:825 SPRING PARK RDG
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:CO
Practice Address - Zip Code:81623-8944
Practice Address - Country:US
Practice Address - Phone:970-963-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO140252163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant