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LORI RENE MARUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
8635 W 3RD STREET, SUITE 675 W, LOS ANGELES, CA 90048
(310) 967-4379
Mailing address
1616 MARLAY DR, LOS ANGELES, CA 90069-1620
(213) 458-1775

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20596
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN368912
CA
Enumeration date
11/22/2011
Last updated
09/05/2013
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