Individual
LORI CONSALUS-STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-8704
(480) 472-8724
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-8704
(480) 472-8724
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN082990
AZ
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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