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Organization
LORI ANN M MORENO APN LLC
Active
Organization
LORI ANN M MORENO APN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN MENDOZA MORENO APN (NURSE PRACTITIONER)
(224) 306-1879
Entity
Organization
Contact information
Practice address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
(224) 306-1879
Mailing address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209009279
IL
Other
Enumeration date
01/28/2015
Last updated
04/20/2015
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