Individual
GAIL A LORDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4013 NE 158TH AVE, VANCOUVER, WA 98682-7477
(907) 456-1605
Mailing address
4013 NE 158TH AVE, VANCOUVER, WA 98682-7477
(907) 456-1605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60493133
WA
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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