Individual
LORI KAY LIBERATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2840 N DYSART RD, GOODYEAR, AZ 85395-2338
(866) 389-2727
(401) 652-9787
Mailing address
2840 N DYSART RD, GOODYEAR, AZ 85395-2338
(866) 389-2727
(401) 652-9787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2998
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315113
—
AZ
Enumeration date
03/04/2008
Last updated
02/06/2019
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