Provider Demographics
NPI:1740506633
Name:J LORIMOR ENTERPRISES
Entity type:Organization
Organization Name:J LORIMOR ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LORIMOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-907-3050
Mailing Address - Street 1:18168 E CALEY CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1174
Mailing Address - Country:US
Mailing Address - Phone:303-907-3050
Mailing Address - Fax:208-493-1060
Practice Address - Street 1:18168 E CALEY CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1174
Practice Address - Country:US
Practice Address - Phone:303-907-3050
Practice Address - Fax:208-493-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment