Individual
LORI ANN MEDICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-5436
(559) 353-5455
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-5436
(559) 353-5455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
320698
CA
363L00000X
Nurse Practitioner
7812
CA
363LC1500X
Community Health Nurse Practitioner
Primary
30920
CA
Other
Enumeration date
12/18/2006
Last updated
09/11/2025
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