Provider Demographics
NPI:1447924576
Name:LUMBRAZO, KARI LYNN (BSN, RN)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:LUMBRAZO
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYNN
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:325 INVERNESS DR S
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6012
Mailing Address - Country:US
Mailing Address - Phone:303-638-2334
Mailing Address - Fax:303-858-2001
Practice Address - Street 1:325 INVERNESS DR S
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6012
Practice Address - Country:US
Practice Address - Phone:303-638-2334
Practice Address - Fax:303-858-2001
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0122470163WP0200X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics