Provider Demographics
NPI:1568429587
Name:PEREZ, LORI JEANNE (LAC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:JEANNE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18425 PONY EXPRESS DR.
Mailing Address - Street 2:R7 SUITE 107
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7378
Mailing Address - Country:US
Mailing Address - Phone:303-805-2282
Mailing Address - Fax:
Practice Address - Street 1:18425 PONY EXPRESS DR.
Practice Address - Street 2:R7 SUITE 107
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7378
Practice Address - Country:US
Practice Address - Phone:303-805-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO315171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist