Provider Demographics
NPI:1194227298
Name:TORGERSON, LORI KAY
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:KAY
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8299 WCR 2
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80603-8906
Mailing Address - Country:US
Mailing Address - Phone:303-868-8378
Mailing Address - Fax:
Practice Address - Street 1:8299 WCR 2
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80603-8906
Practice Address - Country:US
Practice Address - Phone:303-868-8378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000002913124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist