Individual
MRS. LORI ANN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1864
(808) 471-1855
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5831
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
356986
CA
Other
Enumeration date
12/13/2005
Last updated
10/08/2024
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