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Contact Information

LORRAINE G GRUBE, PA-C
412 NORTH C STREET
CRIPPLE CREEK, CO80813
 Phone: 719-200-9668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LORRAINE G GRUBE · (Female)

NPI # 1184614828
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/25/2005
Last updated 12/08/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 1516
  • CO Medicaid 44985738
Hospital affiliation(s) Not Available
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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