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Individual

CHRISTA R LAWHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN MSN ANP

Contact information

Practice address
4060 FOURTH AVE STE 100, SAN DIEGO, CA 92103-2120
(619) 718-9444
(619) 718-9440
Mailing address
1701E FLORIDA AVE, HEMET, CA 92544-4632
(951) 658-4486
(951) 925-1666

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN259439-COAL
OH
363LA2200X
Adult Health Nurse Practitioner
11416
OH
363LA2200X
Adult Health Nurse Practitioner
11416-NP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 19543
CA

Other

Enumeration date
11/18/2009
Last updated
07/18/2019
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