Provider Demographics
NPI:1598980500
Name:SANGER, LORI ANNE (OD)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANNE
Last Name:SANGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6036 SIMMS ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4440
Mailing Address - Country:US
Mailing Address - Phone:303-827-9592
Mailing Address - Fax:303-979-5654
Practice Address - Street 1:13420 WEST COAL MINE AVENUE
Practice Address - Street 2:WALMART VISION - ATTN: DR. SANGER
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5406
Practice Address - Country:US
Practice Address - Phone:303-979-5652
Practice Address - Fax:303-979-5654
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2491152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO98926586Medicaid
CO420127ZPWXMedicare UPIN