Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LORRAINE GWEN GRUBE, PA-C
ActiveMS. LORRAINE GWEN GRUBE, PA-C is a Medical Physician Assistant healthcare provider located in CRIPPLE CREEK, Colorado. NPI 1184614828 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CRIPPLE CREEK, CO
Registration Details
- NPI Number
- 1184614828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2005 (20.620124874463 yrs)
- Last Updated
- Dec 8, 2014
- License
-
1516 (CO)
Practice Information
- Address
-
412 NORTH C STREETCRIPPLE CREEK, CO, 80813Browse CO providers · Browse ZIP 80813
- Phone
- 7192009668
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.