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Individual

LORI ANN SAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CCM

Contact information

Practice address
BUILDING 11582, 17TH & C STREET, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 966-7633
(253) 967-2639
Mailing address
BUILDING 11582, 17TH & C STREET, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 966-7633
(253) 967-2639

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
00086828
WA

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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