Individual
LORI S LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7655 S HIGLEY RD, QUEEN CREEK, AZ 85142-8208
(480) 224-2400
Mailing address
7895 S COLUMBUS DR, GILBERT, AZ 85298-7429
(480) 266-9208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162823
AZ
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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