Individual
LORI ANN PASSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13223 N 20TH ST APT 4, PHOENIX, AZ 85022-8010
(602) 404-6511
Mailing address
13223 N 20TH ST APT 4, PHOENIX, AZ 85022-8010
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP044912
AZ
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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