Organization
DR. GARDNER OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY LYNN LANIER (ADMINISTRATOR)
(707) 274-9299
Entity
Organization
Contact information
Practice address
6300 E. HWY 20, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297
Mailing address
P.O. BOX 1978, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170007AP
CA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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