Individual
LORI LEE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6323 S RURAL RD STE 107, TEMPE, AZ 85283-2933
(480) 827-5630
Mailing address
3541 E CANNON DR, PHOENIX, AZ 85028-3918
(602) 616-7866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
248386
AZ
Other
Enumeration date
09/29/2020
Last updated
11/03/2020
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