Individual
LORA HAFTOPULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10459 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354-2033
(909) 799-5400
Mailing address
10459 MOUNTAIN VIEW AVE STE E, LOMA LINDA, CA 92354-2033
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024148
CA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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