Lorraine Alberico Loustalet, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6187 Issued in CO

Practice address

9990 W 26TH Ave
Lakewood, CO 80215-1581

Phone

(303) 232-4500

Fax

(303) 283-4639

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1205059136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 E VILLANOVA DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141910",
            "telephone_number": "303-745-5660",
            "fax_number": "303-283-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 W 26TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151581",
            "telephone_number": "303-232-4500",
            "fax_number": "303-283-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUSTALET",
        "first_name": "LORRAINE",
        "middle_name": "ALBERICO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02061877",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.