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Individual
LORI ANN MEDICUS
Active
Individual
LORI ANN MEDICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
320698
CA
363L00000X
Nurse Practitioner
7812
CA
363LC1500X
Community Health Nurse Practitioner
Primary
30920
CA
Other
Enumeration date
12/18/2006
Last updated
09/11/2025
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