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Organization
SKIN PERFECT BREA
Active
Organization
SKIN PERFECT BREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ROBERTSON FNP-C (OWNER/MANAGER)
(714) 880-7883
Entity
Organization
Contact information
Practice address
910 E BIRCH ST STE 350, BREA, CA 92821-5848
(714) 880-7883
Mailing address
910 E BIRCH ST STE 350, BREA, CA 92821-5848
(714) 278-3502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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