Individual
MRS. LORI LONGMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
(909) 599-6811
Mailing address
1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
(909) 599-6811
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
494969
CA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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