Individual
MRS. LORRETTA LYNNE CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
511 LANGERS LN, EUGENE, OR 97402-2203
(541) 912-2975
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200540024RN
OR
Other
Enumeration date
06/22/2011
Last updated
09/24/2012
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