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Organization

LORI ROEHL

Active
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Organization

LORI ROEHL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORI CLAUDETTE ROEHL ARNP (OWNER / OPERATOR)
(509) 452-4650
Entity
Organization

Contact information

Practice address
3907 SUMMITVIEW AVE, YAKIMA, WA 98902-2716
(509) 469-1903
(509) 469-1905
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(509) 469-1903
(509) 469-1905

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00077942
WA
363L00000X
Nurse Practitioner
Primary
AP30000938
WA

Other

Enumeration date
11/17/2010
Last updated
11/17/2010
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