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LORI VIRGINIA DEATHERAGE LPN
NPI 1548081235
Licensed Practical Nurse in Pueblo, CO

Active since October 24, 2024
212 W 13TH ST, PUEBLO, CO 81003(719) 696-9027 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lori Virginia Deatherage Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI VIRGINIA DEATHERAGE LPN (NPI 1548081235) is an individual licensed practical nurse in Pueblo, Colorado, licensed in Colorado (PN.0026443) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1548081235
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLORI VIRGINIA DEATHERAGECredential: LPN
Location Address212 W 13TH STPueblo, CO 81003-3754
Mailing Address212 W 13th StPueblo, CO 81003-3754 · (719) 696-9027
Phone(719) 696-9027
Sole ProprietorNo
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1548081235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CO · PN.0026443
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
212 W 13TH ST, Pueblo, CO 81003
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEVATE HEALTHCARE LLC LABS
Clinic/Center (Methadone)
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
JENNIFER BARNETT BA
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
JORDEN STARR ROSS
Licensed Practical Nurse
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
KATIE CHRISTINE CRUZ
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
DESIREE LYNN PEREZ
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
RAQUELINA ISABEL MACALL LPN
Licensed Practical Nurse
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
LAURYN HOLT BA
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027
JOSEPHINE SMITH RN
Registered Nurse
212 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 696-9027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Deatherage's NPI number?

The NPI number for Lori Deatherage is 1548081235. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Lori Deatherage located?

Lori Deatherage practices at 212 W 13th St, Pueblo, CO 81003. The listed phone number is (719) 696-9027.

What is Lori Deatherage's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lori Deatherage was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.