Provider Demographics
NPI:1922408624
Name:STEINBECK, LORI SUE (RN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:SUE
Last Name:STEINBECK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:SUE
Other - Last Name:ATCHISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:172 JUSTICE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-9354
Mailing Address - Country:US
Mailing Address - Phone:719-275-1626
Mailing Address - Fax:
Practice Address - Street 1:172 JUSTICE CENTER RD
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-9354
Practice Address - Country:US
Practice Address - Phone:719-275-1626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0194435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse