Individual
LORI S HEUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 FOWLER, PLACERVILLE, CA 95667-4511
(531) 621-3600
(530) 626-7617
Mailing address
1000 FOWLER WAY, PLACERVILLE, CA 95667-5738
(530) 621-3600
(530) 626-7617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 12494
CA
Other
Enumeration date
10/19/2006
Last updated
05/04/2011
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