Provider Demographics
NPI:1841223526
Name:ORR, LILA (FNP C)
Entity Type:Individual
Prefix:MS
First Name:LILA
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9570 S KINGSTON CT
Mailing Address - Street 2:STE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-350-4500
Mailing Address - Fax:303-350-4501
Practice Address - Street 1:9570 S KINGSTON CT
Practice Address - Street 2:STE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-350-4500
Practice Address - Fax:303-350-4501
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO100329207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology