Individual
LORI DAVIS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 575-8275
(360) 575-1950
Mailing address
PO BOX 908, TOLEDO, WA 98591-0908
(406) 670-9452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60617377
WA
Other
Enumeration date
12/31/2015
Last updated
02/17/2016
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