Individual
DR. LORI M WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
550 S VERMONT AVE, 4TH FL, RM. 400, LOS ANGELES, CA 90020-1912
(213) 738-6195
(213) 427-6166
Mailing address
550 S VERMONT AVE, 4TH FL, RM. 400, LOS ANGELES, CA 90020-1912
(213) 738-6195
(213) 427-6166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 17463
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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