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Individual

MS. LORI CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
12665 W SMOKEY DR STE 140, SURPRISE, AZ 85378-3732
(623) 219-4040
Mailing address
1701 HIGHWAY A1A STE 300, VERO BEACH, FL 32963-2263
(561) 320-0996

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
236251
AZ
363LF0000X
Family Nurse Practitioner
236251
AZ

Other

Enumeration date
02/08/2020
Last updated
07/07/2026
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