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Contact Information

LORI A FAY, DO
3917 WEST ROAD
SUITE 150 LAMCC
LOS ALAMOS, NM87544
 Phone: 505-662-4351
 Fax: 505-662-2932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LORI A FAY · (Female)

NPI Number 1376505958
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2006
Last updated 04/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR43734
  • NM License # T501
  • NM Medicaid 51770377
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    2021 N 12TH ST
    GRAND JUNCTION, CO 81501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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