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Organization
ROBERT W. GARDNER DR. GARDNER OUTPATIENT PROGRAM
Active
Organization
ROBERT W. GARDNER DR. GARDNER OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY LYNN LANIER (ADMINISTRATOR)
(707) 274-9299
Entity
Organization
Contact information
Practice address
6300 E HWY 20, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297
Mailing address
P.O. BOX 1978, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170007AP
CA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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