Provider Demographics
NPI:1912973454
Name:NORTH, LORI JO (ANP)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:JO
Last Name:NORTH
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
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Mailing Address - Street 1:4383 W PONDS CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6564
Mailing Address - Country:US
Mailing Address - Phone:303-798-4245
Mailing Address - Fax:303-370-7512
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:HBPC - G-118
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-370-7511
Practice Address - Fax:303-370-7512
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO88743363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health