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Organization
LORI ANN MORENO APN LLC
Active
Organization
LORI ANN MORENO APN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN MORENO PMHNP-BC, APN (ADVANCED PRACTICE NURSE)
(224) 306-1879
Entity
Organization
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(224) 306-1879
Mailing address
512 N EMERSON ST, MOUNT PROSPECT, IL 60056-2104
(224) 770-0705
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209009279
IL
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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