Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 45336 | CO |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 45336 | CO |
NPI | 1063543007 |
---|---|
Provider Name | Dr. Lonnie E. Loutzenhiser |
First Address | Golden, CO 80401-9541 |
Second Address | Golden, CO 80401-9541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 14/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
79901549 | (05) | CO |