Individual
LORNA MAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3425 SE 192ND AVE, SUITE 109, VANCOUVER, WA 98683-1466
(360) 253-7696
Mailing address
3201 DIVISION AVE, VANCOUVER, WA 98660-2255
(360) 931-4893
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
WA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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