Provider Demographics
NPI:1801843628
Name:PARRISH, LORA LYNN (PT)
Entity Type:Individual
Prefix:MS
First Name:LORA
Middle Name:LYNN
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 MALORY ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2932
Mailing Address - Country:US
Mailing Address - Phone:720-890-4772
Mailing Address - Fax:720-890-4772
Practice Address - Street 1:980 MALORY ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2932
Practice Address - Country:US
Practice Address - Phone:720-890-4772
Practice Address - Fax:720-890-4772
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO81951752Medicaid